F14.91 — Cocaine use, unspecified, in remission
F14.91 is a billable, specific ICD-10-CM code for cocaine use, unspecified, in remission. It is valid for submission on a claim.
Risk adjustment
F14.91 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
F14.91 is named in 12 Medicare coverage policies — 9 listing it as supporting medical necessity, and 3 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
- A56562Billing and Coding: Health and Behavior Assessment/Interventionnot covered
- A59718Billing and Coding: Opioid Treatment Programsnot covered
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
How F14.91 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 F14.91.
- Use›cocaine›in remission
Related codes at this level
Codes that share F14.9. If F14.91 is not quite right, the correct code is usually one of these.
- F14.90Cocaine use, unspecified, uncomplicated
- F14.92Cocaine use, unspecified with intoxication
- F14.93Cocaine use, unspecified with withdrawal
- F14.94Cocaine use, unspecified with cocaine-induced mood disorder
- F14.95Cocaine use, unspecified with cocaine-induced psychotic disorder
- F14.98Cocaine use, unspecified with other specified cocaine-induced disorder
- F14.99Cocaine use, unspecified with unspecified cocaine-induced disorder
Questions about F14.91
- Is F14.91 a billable ICD-10-CM code?
- Yes. F14.91 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F14.91 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).