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F14.950 ICD-10-CM Code: Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions

F14.950 maps to CMS-HCC V28 135. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · HCC Buddy coding tools

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Code lookupF14.950

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

F14.950

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

Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions

A person using cocaine who is experiencing psychosis with delusions (false beliefs) caused by the cocaine use.

Buddy the Bee presenting code insight

Buddy Insight

Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions captures a high-acuity condition where cocaine causes delusions in a patient whose use pattern (abuse vs.

OverviewRisk ModelsCode BookDocumentationAuditNotesEdition comparison

CMS-HCC V28

HCC 135

Coefficient HCC 135: 0.424 (Community Non-Dual Aged (CNA))

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 081

Code-level coefficient reference

ESRD/PACE

HCC 54

Code-level coefficient reference

RXHCC

N/A

—

Not mapped

Code Book Path

Official
F14.9Cocaine use, unspecifiedF14.95Cocaine use, unspecified with cocaine-induced psychotic disorderF14.950Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions

Inclusion Terms

Official

No inclusion terms are included in this display for F14.950. 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
F14.951Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinationsF14.959Cocaine use, unspecified with cocaine-induced psychotic disorder, 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 F14.950. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F14.950. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F14.950. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Documentation of cocaine use
Clear documentation that the psychotic disorder is cocaine-induced
Specific description of delusions (paranoid, grandiose, persecutory, etc.)
Documentation ruling out primary psychotic disorders

MEAT Support

HCC Buddy guidance
Documentation of cocaine use
Clear documentation that the psychotic disorder is cocaine-induced
Specific description of delusions (paranoid, grandiose, persecutory, etc.)
Documentation ruling out primary psychotic disorders

Audit Caution

HCC Buddy guidance
Not querying the provider to establish abuse vs. dependence
Confusing cocaine-induced delusions with primary delusional disorder
Failing to distinguish transient paranoia during intoxication from a full psychotic disorder
Using this code when the provider has established an abuse or dependence pattern

Common Mistakes

HCC Buddy guidance
F14.150 — Cocaine abuse with cocaine-induced psychotic disorder with delusions: use when abuse is established
F14.250 — Cocaine dependence with cocaine-induced psychotic disorder with delusions: use when dependence is established
F14.951 — Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations: use when hallucinations are the primary symptom
F14.959 — Cocaine use, unspecified with cocaine-induced psychotic disorder, unspecified: use when the psychosis type is not specified

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 F14.950 an HCC code?

Yes. F14.950 (Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions) maps to HCC 135, Drug Use with 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: F14.950 is billable and maps to V28 HCC 135, Drug Use with Psychotic Complications. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code
F14.950
Description
Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions
HCC (V28)
HCC 135 — Drug Use with Psychotic Complications
RAF reference coefficient
0.424
Billable
Yes
Payment year
2026

HCC Category Mapping

V28HCC 135, Drug Use with Psychotic Complications
0.424
ESRDHCC 54, Substance Use with Psychotic 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 F14.950 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F14.950

For F14.950, 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

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What This Code Means

F14.950 is the ICD-10-CM diagnosis code for cocaine use, unspecified with cocaine-induced psychotic disorder with delusions. A person using cocaine who is experiencing psychosis with delusions (false beliefs) caused by the cocaine use. F14.950 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, F14.950 maps to Drug Use with Psychotic Complications (HCC 135) with a source-labeled community, non-dual, aged reference coefficient of 0.424. No V24 mapping is shown for F14.950; use the applicable model and payment year when reviewing the V28 mapping. 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 that delusions are present and directly related to cocaine use. For F14.950, 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 F14.950 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • •Document that delusions are present and directly related to cocaine use
  • •Distinguish from primary psychotic disorders; cocaine-induced psychosis typically resolves with abstinence

Clinical Significance

Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions captures a high-acuity condition where cocaine causes delusions in a patient whose use pattern (abuse vs. dependence) is not specified. Cocaine-induced delusions are frequently paranoid in nature and can drive violent behavior, treatment refusal, and emergency psychiatric intervention. This code maps to the higher-weighted psychosis HCC (54) in V24, making accurate capture important for risk adjustment.

Documentation Requirements

  • ✓Documentation of cocaine use
  • ✓Clear documentation that the psychotic disorder is cocaine-induced
  • ✓Specific description of delusions (paranoid, grandiose, persecutory, etc.)
  • ✓Documentation ruling out primary psychotic disorders
  • ✓Temporal relationship between cocaine use and delusion onset
  • ✓Mental status examination documenting delusional thinking
  • ✓Safety assessment regarding delusional content

Commonly Confused Codes

  • •F14.150: Cocaine abuse with cocaine-induced psychotic disorder with delusions: use when abuse is established
  • •F14.250: Cocaine dependence with cocaine-induced psychotic disorder with delusions: use when dependence is established
  • •F14.951: Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations: use when hallucinations are the primary symptom
  • •F14.959: Cocaine use, unspecified with cocaine-induced psychotic disorder, unspecified: use when the psychosis type is not specified
  • •F22: Delusional disorders: use for primary delusional disorder, not substance-induced

Child Codes

F14.950Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions
HCC 135
F14.951Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations
HCC 135
F14.959Cocaine use, unspecified with cocaine-induced psychotic disorder, unspecified
HCC 135

Code Hierarchy

└F14Cocaine related disorders└F14.9Cocaine use, unspecified└F14.95Cocaine use, unspecified with cocaine-induced psychotic disorder└F14.950Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions
└F14.950Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions

Also searched as

  • F14 950
  • F14950

For F14.950, 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.

F14.950 maps to CMS-HCC V28 category 135, Drug Use with Psychotic Complications. See the ICD-10 to HCC mapping hub for how the V28 crosswalk works. The mapping identifies a payment HCC category for F14.950. Review its source-labeled HCC coefficient above, check the RAF Calculator with complete member context for CMS-HCC V28 PY2026, and confirm the documentation the chart needs before the code is submitted. HCC Buddy shows no RAF score unless every required source and calculation check passes.

Work F14.950 in HCC Buddy

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