F14.980
BillableCocaine use, unspecified with cocaine-induced anxiety disorder
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is F14.980 an HCC code?
Yes. F14.980 maps to Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications under the CMS-HCC V28 risk adjustment model (and Substance Use Disorder, Moderate/Severe, or Substance Use with Complications under V24).
HCC Category Mapping
RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.
MEAT Criteria for F14.980
For F14.980to 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 F14.980 during that encounter — not just copy-forwarded from a problem list.
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 community, non-dual, aged base RAF weight of 0.424. Under the older CMS-HCC V24 model, F14.980 maps to Substance Use Disorder, Moderate/Severe, or Substance Use with Complications (HCC 55) with a community, non-dual, aged base RAF weight of 0.329. 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.
Document whether anxiety is acute (during intoxication) or persistent (withdrawal or chronic use). Because F14.980 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. 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, RAF weights, 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