F14.90 ICD-10-CM Code: Cocaine use, unspecified, uncomplicated
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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)
F14.90
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceCocaine use, unspecified, uncomplicated
This code indicates a patient uses cocaine but the documentation does not specify whether it is occasional use, regular use, or the extent of the problem. There are no documented complications or disorders related to the cocaine use at this time.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for F14.90 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for F14.90 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for F14.90 in this effective period.
Excludes 1
Official- cocaine abuse (F14.1-)
- cocaine dependence (F14.2-)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for F14.90 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for F14.90 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for F14.90 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is F14.90 an HCC code?
No. F14.90 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
F14.90 is the ICD-10-CM diagnosis code for cocaine use, unspecified, uncomplicated. This code indicates a patient uses cocaine but the documentation does not specify whether it is occasional use, regular use, or the extent of the problem. There are no documented complications or disorders related to the cocaine use at this time. F14.90 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental and behavioral disorders due to psychoactive substance use (f10-f19).
F14.90 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Use this code only when the documentation does not provide enough detail to assign a more specific cocaine use disorder code (such as mild, moderate, or severe); query the provider if more specificity is available in the medical record.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F14.90 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when the documentation does not provide enough detail to assign a more specific cocaine use disorder code (such as mild, moderate, or severe); query the provider if more specificity is available in the medical record
- •This code should not be used if there are documented complications (such as intoxication, withdrawal, or cocaine-induced mental health conditions); those would require more specific coding