F14.121: Cocaine abuse with intoxication with delirium
F14.121 is a billable, specific ICD-10-CM code for cocaine abuse with intoxication with delirium. It is valid for submission on a claim.
Check F14.121 with the rest of the claim: free scrubberExcludes1 inherited from the categories above F14.121
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above F14.121
Not part of this code, but both may be coded when both are present.
Risk adjustment
F14.121 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 137 Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications0.424 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
F14.121 is named in 18 Medicare coverage policies: 16 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56562Billing and Coding: Health and Behavior Assessment/Interventionnot covered
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Alphabetic index entries that lead here
- Delirium, delirious›due to›cocaine intoxication›in›abuse
- Disorder›cocaine use›mild›with›cocaine intoxication delirium
- Abuse›drug NEC›cocaine›with›intoxication›with›delirium
Code history
Unchanged in every release from FY2024 to FY2027.