F14.922 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 · free HCC coding tools

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

Code lookupF14.922

Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)

F14.922

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Cocaine use, unspecified with intoxication with perceptual disturbance

A person using cocaine who is experiencing intoxication with perceptual disturbances such as seeing or hearing things that aren't there.

Buddy Insight

Cocaine use, unspecified with intoxication with perceptual disturbance captures a patient experiencing sensory misperceptions during cocaine intoxication where the use pattern (abuse vs.

Overview Risk Models Code Book Documentation Audit Notes Edition comparison

CMS-HCC V28

Mapped

HCC 137

Drug Use Disorder, Moderate/S...

Coefficient HCC 137: 0.424 (Community Non-Dual Aged (CNA))

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

Mapped

HCC 082

HHS-HCC 082 adult, RAF varies...

Code-level coefficient reference

ESRD/PACE

Mapped

HCC 55

Substance Use Disorder/Modera...

Code-level coefficient reference

RXHCC

N/A

—

Not risk-adjusted for this model/period.

Not mapped

Code Book Path

Official

F14.9Cocaine use, unspecified F14.92Cocaine use, unspecified with intoxication F14.922Cocaine use, unspecified with intoxication with perceptual disturbance

Inclusion Terms

Official

No inclusion terms are included in this display for F14.922. 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

Official

F14.920Cocaine use, unspecified with intoxication, uncomplicated F14.921Cocaine use, unspecified with intoxication delirium F14.929Cocaine use, unspecified with intoxication, unspecified

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

Official

No Code First sequencing instructions are included in this display for F14.922. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F14.922. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F14.922. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance

Documentation of cocaine use (use pattern may be unspecified)

Documentation of active intoxication

Specific description of perceptual disturbances (type and nature)

Confirmation that symptoms are transient and related to intoxication

MEAT Support

HCC Buddy guidance

Documentation of cocaine use (use pattern may be unspecified)

Documentation of active intoxication

Specific description of perceptual disturbances (type and nature)

Confirmation that symptoms are transient and related to intoxication

Audit Caution

HCC Buddy guidance

Not querying the provider to establish abuse vs. dependence when possible

Confusing transient perceptual disturbance with a full psychotic disorder

Using this code when no perceptual disturbances are documented

Not documenting the specific nature of the perceptual disturbance

Common Mistakes

HCC Buddy guidance

F14.122 — Cocaine abuse with intoxication with perceptual disturbance: use when abuse is established

F14.222 — Cocaine dependence with intoxication with perceptual disturbance: use when dependence is established

F14.920 — Cocaine use, unspecified with intoxication, uncomplicated: use when NO perceptual disturbances are present

F14.921 — Cocaine use, unspecified with intoxication delirium: use when delirium is the primary feature

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 F14.922 an HCC code?

Yes. F14.922 (Cocaine use, unspecified with intoxication with perceptual disturbance) 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: F14.922 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: F14.922
Description: Cocaine use, unspecified with intoxication with perceptual disturbance
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

V28HCC 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications

0.424

ESRDHCC 55, Substance Use Disorder/Moderate/Severe/Substance Use with Complications

Not separately weighted

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 F14.922 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F14.922

For F14.922, 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

F14.922 is the ICD-10-CM diagnosis code for cocaine use, unspecified with intoxication with perceptual disturbance. A person using cocaine who is experiencing intoxication with perceptual disturbances such as seeing or hearing things that aren't there. F14.922 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, F14.922 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.

Document the specific perceptual disturbances (visual, auditory, tactile) when possible. For F14.922, 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 F14.922 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•Document the specific perceptual disturbances (visual, auditory, tactile) when possible
•Ensure disturbances are attributed to cocaine intoxication rather than other psychiatric conditions

Clinical Significance

Cocaine use, unspecified with intoxication with perceptual disturbance captures a patient experiencing sensory misperceptions during cocaine intoxication where the use pattern (abuse vs. dependence) has not been determined. Cocaine-related perceptual disturbances include visual trails, tactile sensations (formication), and auditory misperceptions that do not rise to the level of a full psychotic disorder. This condition requires monitored observation to ensure symptoms do not progress to psychosis or delirium.

Documentation Requirements

✓Documentation of cocaine use (use pattern may be unspecified)
✓Documentation of active intoxication
✓Specific description of perceptual disturbances (type and nature)
✓Confirmation that symptoms are transient and related to intoxication
✓Assessment distinguishing perceptual disturbance from delirium or psychosis
✓Vital signs and monitoring documentation

Commonly Confused Codes

•F14.122: Cocaine abuse with intoxication with perceptual disturbance: use when abuse is established
•F14.222: Cocaine dependence with intoxication with perceptual disturbance: use when dependence is established
•F14.920: Cocaine use, unspecified with intoxication, uncomplicated: use when NO perceptual disturbances are present
•F14.921: Cocaine use, unspecified with intoxication delirium: use when delirium is the primary feature
•F14.951: Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations: use when symptoms meet psychosis criteria