F14.920 ICD-10-CM Code: Cocaine use, unspecified with intoxication, uncomplicated
F14.920 maps to CMS-HCC V28 137. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · HCC Buddy coding tools
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)
F14.920
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceCocaine use, unspecified with intoxication, uncomplicated
A person using cocaine who is experiencing intoxication without additional complications like confusion or hallucinations.
Buddy Insight
Cocaine use, unspecified with intoxication, uncomplicated is used when the provider documents cocaine intoxication but the clinical record does not establish whether the use pattern constitutes abuse or dependence.
CMS-HCC V28
MappedHCC 137
Coefficient HCC 137: 0.424 (Community Non-Dual Aged (CNA))
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
MappedHCC 082
Code-level coefficient reference
ESRD/PACE
MappedHCC 55
Code-level coefficient reference
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for F14.920. Check the code and parent instructions in the Code Book.
Excludes 2
Official- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99, F14
- other stimulant-related disorders (F15.-)Inherited from F01-F99, F14
Related Codes
Includes
Official- disorders of psychological developmentInherited from F01-F99
Excludes 1
Official- cocaine abuse (F14.1-)Inherited from F14.9
- cocaine dependence (F14.2-)Inherited from F14.9
Code First
OfficialNo Code First sequencing instructions are included in this display for F14.920. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for F14.920. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for F14.920. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is F14.920 an HCC code?
Yes. F14.920 (Cocaine use, unspecified with intoxication, uncomplicated) maps to HCC 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.424. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.
Coder answer: F14.920 is billable and maps to V28 HCC 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.
- Code
- F14.920
- Description
- Cocaine use, unspecified with intoxication, uncomplicated
- HCC (V28)
- HCC 137 — Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications
- RAF reference coefficient
- 0.424
- Billable
- Yes
- Payment year
- 2026
HCC Category Mapping
These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.
Work F14.920 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →
MEAT review for F14.920
For F14.920, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Coder workflow notes
Get the V28 mapping + MEAT cheat sheet
One printable reference: check representative V28 mappings and the documentation reminders your note needs. Free, no card.
Free PDF. No card. Unsubscribe anytime.
What This Code Means
F14.920 is the ICD-10-CM diagnosis code for cocaine use, unspecified with intoxication, uncomplicated. A person using cocaine who is experiencing intoxication without additional complications like confusion or hallucinations. F14.920 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).
Under the CMS-HCC V28 risk adjustment model, F14.920 maps to Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications (HCC 137) with a source-labeled community, non-dual, aged reference coefficient of 0.424. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.
This code represents uncomplicated intoxication; if delirium or perceptual disturbances are present, use more specific codes. For F14.920, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F14.920 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code represents uncomplicated intoxication; if delirium or perceptual disturbances are present, use more specific codes
- •Document the timing and amount of cocaine use to support the intoxication diagnosis
Clinical Significance
Cocaine use, unspecified with intoxication, uncomplicated is used when the provider documents cocaine intoxication but the clinical record does not establish whether the use pattern constitutes abuse or dependence. The 'unspecified' designation for the use pattern indicates a documentation gap regarding severity. Despite this, acute cocaine intoxication requires cardiovascular monitoring and behavioral assessment regardless of use pattern classification.
Documentation Requirements
- ✓Documentation of cocaine use (even without specifying abuse or dependence)
- ✓Clinical signs of active intoxication (euphoria, agitation, dilated pupils, tachycardia, hypertension)
- ✓Confirmation that intoxication is uncomplicated (no delirium or perceptual disturbance)
- ✓Vital signs documented during the intoxication
- ✓Assessment and monitoring plan
Commonly Confused Codes
- •F14.120: Cocaine abuse with intoxication, uncomplicated: use when abuse is established
- •F14.220: Cocaine dependence with intoxication, uncomplicated: use when dependence is established
- •F14.921: Cocaine use, unspecified with intoxication delirium: use when delirium is present
- •F14.922: Cocaine use, unspecified with intoxication with perceptual disturbance: use when perceptual disturbances are present
- •F14.929: Cocaine use, unspecified with intoxication, unspecified: even less specific code