What is ICD-10 code F14.93?

F14.93 is the ICD-10-CM diagnosis code for Cocaine use, unspecified with withdrawal. A person using cocaine who is experiencing withdrawal symptoms after stopping or reducing cocaine use. It belongs to the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99). F14.93 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. F14.93 is part of the FY2026 ICD-10-CM code set published by the CMS National Center for Health Statistics and used on Medicare, Medicaid, and commercial claims in the United States.

Yes. F14.93 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. F14.93 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Which HCC does F14.93 map to under V28?

F14.93 maps to CMS-HCC V28 HCC 137 (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications). The category numbers, labels, and conditions come from the CMS-HCC V28 model file for payment year 2026.

2026 ICD-10-CM F14.93: Cocaine use, unspecified

F14.93 maps to CMS-HCC V28 137. A source-labeled RAF reference is available. Documentation must support MEAT. MEAT criteria · RAF Calculator · HCC coding software

ICD-10-CM Code View

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Code lookupF14.93Effective 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)

F14.93

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

Cocaine use, unspecified with withdrawal

A person using cocaine who is experiencing withdrawal symptoms after stopping or reducing cocaine use.

Buddy Insight

Cocaine use, unspecified with withdrawal captures a patient experiencing cocaine withdrawal symptoms where the use pattern (abuse vs.

CMS-HCC V28

Mapped

HCC 137

Drug Use Disorder, Moderate/S...

Code-level coefficient reference

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

F14Cocaine related disorders

F14.9Cocaine use, unspecified

F14.93Cocaine use, unspecified with withdrawal

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F14.93 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for F14.93 in this effective period.

Related Child Codes

Official

F14.90Cocaine use, unspecified, uncomplicated

F14.91Cocaine use, unspecified, in remission

F14.92Cocaine use, unspecified with intoxication

F14.94Cocaine use, unspecified with cocaine-induced mood disorder

F14.95Cocaine use, unspecified with cocaine-induced psychotic disorder

Includes

Official

ICD-10-CM does not list Includes notes for F14.93 in this effective period.

Excludes 1

Official

cocaine abuse (F14.1-)
cocaine dependence (F14.2-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F14.93 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F14.93 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F14.93 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance

Documentation of cocaine use (even without specifying abuse or dependence)

Documentation of recent cessation or reduction in cocaine use

Specific withdrawal symptoms described (depression, fatigue, vivid dreams, hypersomnia, increased appetite)

Temporal relationship between cocaine cessation and symptom onset

MEAT Support

HCC Buddy guidance

Documentation of cocaine use (even without specifying abuse or dependence)

Documentation of recent cessation or reduction in cocaine use

Specific withdrawal symptoms described (depression, fatigue, vivid dreams, hypersomnia, increased appetite)

Temporal relationship between cocaine cessation and symptom onset

Audit Caution

HCC Buddy guidance

Not querying the provider to establish abuse vs. dependence pattern

Coding withdrawal while the patient is still actively using cocaine

Confusing withdrawal depression with a primary depressive disorder

Not documenting specific withdrawal symptoms to support the code

Common Mistakes

HCC Buddy guidance

F14.13 — Cocaine abuse with withdrawal: use when abuse is established

F14.23 — Cocaine dependence with withdrawal: use when dependence is established

F14.94 — Cocaine use, unspecified with cocaine-induced mood disorder: use when the mood disturbance extends beyond typical withdrawal

F14.920 — Cocaine use, unspecified with intoxication, uncomplicated: opposite clinical scenario (intoxication vs. withdrawal)

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 F14.93 an HCC code?

Yes. F14.93 (Cocaine use, unspecified with withdrawal) 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: F14.93 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: F14.93
Description: Cocaine use, unspecified with withdrawal
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 F14.93 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT Criteria for F14.93

For F14.93 to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.

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

Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed F14.93 during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

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What This Code Means

F14.93 is the ICD-10-CM diagnosis code for cocaine use, unspecified with withdrawal. A person using cocaine who is experiencing withdrawal symptoms after stopping or reducing cocaine use. F14.93 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, F14.93 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. No V24 mapping is shown for F14.93; use the applicable model and payment year when reviewing the V28 mapping. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition. 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 timeline of cocaine cessation and onset of withdrawal symptoms. Because F14.93 maps to an HCC category, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) before the diagnosis is used for risk adjustment. 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 F14.93 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•Document the timeline of cocaine cessation and onset of withdrawal symptoms
•Withdrawal from cocaine typically includes depression, fatigue, and anhedonia rather than physical symptoms

Clinical Significance

Cocaine use, unspecified with withdrawal captures a patient experiencing cocaine withdrawal symptoms where the use pattern (abuse vs. dependence) has not been determined. Cocaine withdrawal predominantly presents with psychological symptoms including severe dysphoria, anhedonia, fatigue, and psychomotor retardation. While not typically medically dangerous like alcohol withdrawal, cocaine withdrawal carries significant suicide risk. The unspecified use pattern represents a documentation gap that should be addressed.

Documentation Requirements

✓Documentation of cocaine use (even without specifying abuse or dependence)
✓Documentation of recent cessation or reduction in cocaine use
✓Specific withdrawal symptoms described (depression, fatigue, vivid dreams, hypersomnia, increased appetite)
✓Temporal relationship between cocaine cessation and symptom onset
✓Suicide risk assessment
✓Treatment plan for managing withdrawal

Commonly Confused Codes

•F14.13: Cocaine abuse with withdrawal: use when abuse is established
•F14.23: Cocaine dependence with withdrawal: use when dependence is established
•F14.94: Cocaine use, unspecified with cocaine-induced mood disorder: use when the mood disturbance extends beyond typical withdrawal
•F14.920: Cocaine use, unspecified with intoxication, uncomplicated: opposite clinical scenario (intoxication vs. withdrawal)
•F14.90: Cocaine use, unspecified, uncomplicated: use when no intoxication, withdrawal, or induced disorders are present