F14.11 — Cocaine abuse, in remission
F14.11 is a billable, specific ICD-10-CM code for cocaine abuse, in remission. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Cocaine use disorder, mild, in early remission
- Cocaine use disorder, mild, in sustained remission
Risk adjustment
F14.11 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 138 Drug Use Disorder, Mild, Uncomplicated, Except Cannabis0.423 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
F14.11 is named in 13 Medicare coverage policies — 11 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A59718Billing and Coding: Opioid Treatment Programsnot covered
- A54799Billing and Coding: Urine Drug Testing
- A55001Billing and Coding: Urine Drug Testing
How F14.11 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F14.11.
- Abuse›drug NEC›cocaine›in remission(early) (sustained)
- Disorder›cocaine use›mild›in remission(early) (sustained)
Related codes at this level
Codes that share F14.1. If F14.11 is not quite right, the correct code is usually one of these.
- F14.10Cocaine abuse, uncomplicated
- F14.12Cocaine abuse with intoxication
- F14.13Cocaine abuse, unspecified with withdrawal
- F14.14Cocaine abuse with cocaine-induced mood disorder
- F14.15Cocaine abuse with cocaine-induced psychotic disorder
- F14.18Cocaine abuse with other cocaine-induced disorder
- F14.19Cocaine abuse with unspecified cocaine-induced disorder
Questions about F14.11
- Is F14.11 a billable ICD-10-CM code?
- Yes. F14.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F14.11 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental and behavioral disorders due to psychoactive substance use (F10-F19).