F14.19: Cocaine abuse with unspecified cocaine-induced disorder
F14.19 is a billable, specific ICD-10-CM code for cocaine abuse with unspecified cocaine-induced disorder. It is valid for submission on a claim.
Check F14.19 with the rest of the claim: free scrubberExcludes1 inherited from the categories above F14.19
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above F14.19
Not part of this code, but both may be coded when both are present.
Risk adjustment
F14.19 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
F14.19 is named in 12 Medicare coverage policies: 10 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
- A59718Billing and Coding: Opioid Treatment Programsnot covered
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
- A56756Billing and Coding: Home Health - Psychiatric Care
Alphabetic index entries that lead here
- Abuse›drug NEC›cocaine›with›unspecified disorder
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under F14.1
- F14.10Cocaine abuse, uncomplicated
- F14.11Cocaine abuse, in remission
- 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