F14.988
BillableCocaine use, unspecified with other cocaine-induced disorder
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is F14.988 an HCC code?
Yes. F14.988 maps to Drug Use Disorder/Substance Use Disorder, Moderate/Severe under the CMS-HCC V28 risk adjustment model (and Drug/Alcohol Dependence 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 F14.988
For F14.988to 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 F14.988 during that encounter — not just copy-forwarded from a problem list.
What This Code Means
F14.988 is the ICD-10-CM diagnosis code for cocaine use, unspecified with other cocaine-induced disorder. Cocaine use that causes other mental or physical health problems not covered by the more specific cocaine-induced disorder codes. F14.988 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, F14.988 maps to Drug Use Disorder/Substance Use Disorder, Moderate/Severe (HCC 137) with a community, non-dual, aged base RAF weight of 0.358. Under the older CMS-HCC V24 model, F14.988 maps to Drug/Alcohol Dependence (HCC 55) with a community, non-dual, aged base RAF weight of 0.334. 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.
Use this code only when the cocaine-induced condition doesn't fit other specific categories. Because F14.988 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 F14.988 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when the cocaine-induced condition doesn't fit other specific categories
- •Document the specific disorder or condition in the medical record for clarity
Clinical Significance
Cocaine use, unspecified with other cocaine-induced disorder captures cocaine-induced conditions that do not fit the standard specified subcategories, in a patient whose use pattern is not determined. This may include cocaine-induced obsessive-compulsive disorder, cognitive impairment, movement disorders, or other neuropsychiatric conditions. Despite the residual nature of this code, it reflects that cocaine use has caused additional health complications beyond simple intoxication or withdrawal.
Documentation Requirements
- ✓Documentation of cocaine use
- ✓Specific identification of the cocaine-induced disorder
- ✓Documentation that the disorder is cocaine-induced
- ✓Explanation of why the condition does not fit more specific subcategories
- ✓Temporal relationship between cocaine use and the induced condition
- ✓Clinical impact and treatment plan
Commonly Confused Codes
- •F14.188 — Cocaine abuse with other cocaine-induced disorder: use when abuse is established
- •F14.288 — Cocaine dependence with other cocaine-induced disorder: use when dependence is established
- •F14.980 — Cocaine use, unspecified with cocaine-induced anxiety disorder: use when anxiety is the specific condition
- •F14.981 — Cocaine use, unspecified with cocaine-induced sexual dysfunction: use when sexual dysfunction is the condition
- •F14.99 — Cocaine use, unspecified with unspecified cocaine-induced disorder: use when the specific disorder is unknown