2027 ICD-10-CM Diagnosis Code F14.21Cocaine dependence, in remission
ICD-10-CM Codes›F01–F99›F10-F19›F14
- Billable — Valid for Submission
- Risk Adjusts — HCC 137
- Chronic Condition
F14.21 is a billable ICD-10-CM diagnosis code for cocaine dependence, in remission. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 894 through 897. Coders also document this condition as cocaine dependence. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Mental and substance use disorders in remission.
For Medicare Advantage risk adjustment, F14.21 maps to CMS-HCC Category 137 (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications) under the V28 model, adding a risk factor of about 0.424 for a community, non-dual, aged beneficiary in payment year 2027.
Code Identity
Code Classification
Medicare Risk Adjustment (HCC)Billing
F14.21 maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2027.
Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Cocaine dependence
- Cocaine dependence in remission
- Psychostimulant dependence in remission
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to F14.21: its own notes plus those printed at F14.2, F14, and Chapter 5. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- disorders of psychological development
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Cocaine use disorder, moderate, in early remission
- Cocaine use disorder, moderate, in sustained remission
- Cocaine use disorder, severe, in early remission
- Cocaine use disorder, severe, in sustained remission
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name F14.21, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming F14.21: they are not reported together with it, unless the two conditions are unrelated.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Disorder (of) See Also: Disease;
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Cocaine Dependence
a psychologically and socially impaired state, with or without physiological changes, that develops as a result of using cocaine and which leads to compulsive behaviors to acquire the substance.Cocaine-Related Disorders
disorders related or resulting from use of cocaine.
Patient EducationClinical
Cocaine
Cocaine is a very addictive drug that is made from leaves of the coca plant found in South America. It is mostly available as an illegal drug that some people use to get high. In rare cases, it is also used as a prescription drug for for anesthesia during certain surgeries.
The full article covers:
- What is cocaine?
- How do people use cocaine?
- What are the short-term effects of cocaine?
- What are the long-term effects of cocaine?
- Can a person overdose on cocaine?
- What are the treatments for cocaine use disorder?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert F14.21 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About F14.21Overview
What is the ICD-10 code for cocaine dependence, in remission?
The ICD-10-CM code for cocaine dependence, in remission is F14.21 (sometimes written as F1421). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is F14.21 (Cocaine dependence) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report cocaine dependence, in remission on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does F14.21 group to?
When cocaine dependence, in remission is the principal diagnosis on an inpatient stay, it groups to MS-DRG 894, 897, 895, 896, with relative weights from 0.6272 to 1.6610 depending on complications. Higher weights mean higher Medicare reimbursement.
Can F14.21 be reported with a code from F14.1?
Not as a rule. The Excludes1 note at F14.2, which applies to F14.21, lists "cocaine abuse (F14.1-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What is the ICD-9 equivalent of F14.21?
Under the General Equivalence Mappings, cocaine dependence, in remission converts to ICD-9-CM 304.23 (cocaine depend-remiss). The mapping is a direct match.
What HCC is F14.21?
F14.21 (cocaine dependence, in remission) maps to CMS-HCC Category 137 (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), commonly written as HCC 137, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2027. It mapped to HCC 55 under the retired V24 model. It also maps in the PACE (CMS-HCC V22), ESRD (V21), and ESRD (V24) models. It does not map to any RxHCC in the Part D prescription drug model.
Does F14.21 risk-adjust for Medicare Advantage payment?
Yes. When documented and reported on a Medicare Advantage encounter, F14.21 adds a risk adjustment factor of about 0.424 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.297 to 0.502 depending on the payment segment). A more severe related category (HCC 135 and HCC 136) supersedes it when both are reported. See the full factor table on the HCC 137 category page.
