F14.980 ICD-10-CM Code: Cocaine use, unspecified with cocaine-induced anxiety disorder
F14.980 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
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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)
F14.980
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceCocaine use, unspecified with cocaine-induced anxiety disorder
Cocaine use that causes anxiety symptoms or an anxiety disorder as a direct result of the drug's effects on the brain.
Buddy Insight
Cocaine use, unspecified with cocaine-induced anxiety disorder captures anxiety directly caused by cocaine in a patient whose use pattern has not been determined.
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
Official- Cocaine induced anxiety disorder, without use disorder
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 F14.980. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for F14.980. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for F14.980. 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 F14.980 an HCC code?
Yes. F14.980 (Cocaine use, unspecified with cocaine-induced anxiety disorder) 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: F14.980 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
- F14.980
- Description
- Cocaine use, unspecified with cocaine-induced anxiety disorder
- 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 F14.980 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →
MEAT review for F14.980
For F14.980, 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
F14.980 is the ICD-10-CM diagnosis code for cocaine use, unspecified with cocaine-induced anxiety disorder. Cocaine use that causes anxiety symptoms or an anxiety disorder as a direct result of the drug's effects on the brain. F14.980 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, F14.980 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 F14.980; 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 whether anxiety is acute (during intoxication) or persistent (withdrawal or chronic use). For F14.980, 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 F14.980 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document whether anxiety is acute (during intoxication) or persistent (withdrawal or chronic use)
- •Ensure cocaine use is clearly documented in the medical record to support this diagnosis
Clinical Significance
Cocaine use, unspecified with cocaine-induced anxiety disorder captures anxiety directly caused by cocaine in a patient whose use pattern has not been determined. Cocaine's sympathomimetic effects frequently produce anxiety, and in some patients this develops into a persistent cocaine-induced anxiety disorder. The combination of substance use and anxiety creates a cycle where anxiety drives continued use as self-medication. Establishing the causal relationship is critical for appropriate treatment.
Documentation Requirements
- ✓Documentation of cocaine use
- ✓Clear statement that anxiety disorder is cocaine-induced
- ✓Description of anxiety symptoms (panic attacks, generalized anxiety, social anxiety)
- ✓Documentation ruling out primary anxiety disorders
- ✓Temporal relationship between cocaine use and anxiety onset
- ✓Assessment of whether anxiety drives continued cocaine use
- ✓Treatment plan
Commonly Confused Codes
- •F14.180: Cocaine abuse with cocaine-induced anxiety disorder: use when abuse is established
- •F14.280: Cocaine dependence with cocaine-induced anxiety disorder: use when dependence is established
- •F41.1: Generalized anxiety disorder: use when anxiety is primary, not substance-induced
- •F14.94: Cocaine use, unspecified with cocaine-induced mood disorder: use when mood disturbance is the primary induced condition
- •F14.988: Cocaine use, unspecified with other cocaine-induced disorder: use for other induced conditions