F15.14
BillableOther stimulant abuse with stimulant-induced mood disorder
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is F15.14 an HCC code?
Yes. F15.14 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 F15.14
For F15.14 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 F15.14 during that encounter — not just copy-forwarded from a problem list.
What This Code Means
F15.14 is the ICD-10-CM diagnosis code for other stimulant abuse with stimulant-induced mood disorder. Depression, mania, or other mood disturbances directly caused by stimulant drug abuse. F15.14 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, F15.14 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, F15.14 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.
Ensure the mood disorder is documented as stimulant-induced rather than a primary psychiatric condition. Because F15.14 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 F15.14 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Ensure the mood disorder is documented as stimulant-induced rather than a primary psychiatric condition
- •Code the specific mood disorder type if documented (depression, bipolar disorder, etc.)
Clinical Significance
Other stimulant abuse with stimulant-induced mood disorder captures mood disturbances directly caused by non-cocaine stimulant abuse. Amphetamine and methamphetamine use can produce both manic-like states during active use (euphoria, grandiosity, decreased need for sleep) and severe depression during withdrawal and chronic use. The induced mood disorder must be distinguished from primary mood disorders, as stimulant-induced mood disturbance typically resolves with sustained abstinence. This dual condition significantly complicates treatment and increases relapse risk.
Documentation Requirements
- ✓Provider documentation of stimulant abuse (not dependence)
- ✓Identification of the specific stimulant when possible
- ✓Clear statement that the mood disorder is stimulant-induced
- ✓Description of the specific mood disturbance (depressive, manic, mixed features)
- ✓Documentation ruling out primary mood disorders
- ✓Temporal relationship between stimulant use and mood symptom onset
- ✓Suicide risk assessment
- ✓Integrated treatment plan
Commonly Confused Codes
- •F15.24 — Other stimulant dependence with stimulant-induced mood disorder: use when the pattern is dependence
- •F14.14 — Cocaine abuse with cocaine-induced mood disorder: use for cocaine-specific induced mood disorder
- •F15.13 — Other stimulant abuse with withdrawal: withdrawal includes mood symptoms but is a different clinical entity
- •F32.x — Major depressive disorder codes: use when depression is primary, not substance-induced
- •F15.180 — Other stimulant abuse with stimulant-induced anxiety disorder: use when anxiety is the primary induced condition