2027 ICD-10-CM Diagnosis Code F14.220Cocaine dependence with intoxication, uncomplicated

ICD-10-CM Codes›F01–F99›F10-F19›F14

ICD-10-CM F14.220
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

F14.220 is a billable ICD-10-CM diagnosis code for cocaine dependence with intoxication, uncomplicated. 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Stimulant-related disorders.

For Medicare Advantage risk adjustment, F14.220 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

ICD-10-CM Code
F14.220
Billable Status
Yes — Valid for Submission
Code Describes
Cocaine dependence with intoxication, uncomplicated
Short Description
Cocaine dependence with intoxication, uncomplicated
Same as the full description in the CMS dataset.
Parent Code
F14.22
Cocaine dependence with intoxication

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF10-F19Mental and behavioral disorders due to psychoactive substance use
CategoryF14Cocaine related disorders
This CodeF14.220Cocaine dependence with intoxication, uncomplicated

Medicare Risk Adjustment (HCC)Billing

F14.220 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.

CMS-HCC V28 Category (Payment Model)
HCC 137— Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications
Payment HCC · PY 2027 one of 308 ICD-10-CM codes in this category
Risk Adjustment Factor (RAF) Weight
+0.424
community, non-dual, aged · ranges 0.297–0.502 across segments
Hierarchy
Superseded by HCC 135 and HCC 136
a more severe related category takes the payment when both are reported
Prior Model (CMS-HCC V24)
HCC 55
V24 retired V28 pays 100% of MA risk scores since PY 2026
Other CMS Models
PACE (CMS-HCC V22): HCC 55 · ESRD (V21): HCC 55 · ESRD (V24): HCC 55
ESRD V21 weights: 0.048 dialysis, 0.112–0.352 functioning graft · ESRD V24 weights: 0.111 dialysis, 0.172–0.416 functioning graft
Part D (RxHCC)
Not mapped
F14.220 does not risk-adjust in the RxHCC prescription drug model

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.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to F14.220: its own notes plus those printed at F14.22, 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.

From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • disorders of psychological development

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From F14.22 Cocaine dependence with intoxication applies to 4 codes
  • cocaine dependence with withdrawal (F14.23)
From F14.2 Cocaine dependence applies to 16 codes

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.

From F14.2 Cocaine dependence applies to 16 codes
From F14 Cocaine related disorders applies to 48 codes
  • other stimulant-related disorders (F15.-)
From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name F14.220, its category, or a range that includes it.

Excludes1 3

These codes carry an Excludes1 note naming F14.220: they are not reported together with it, unless the two conditions are unrelated.

  • F14.1 Cocaine abuse
    cocaine dependence (F14.2-) names F14.2-, which includes this code
  • F14.23 Cocaine dependence with withdrawal
    cocaine dependence with intoxication (F14.22-) names F14.22-, which includes this code
  • F14.9 Cocaine use, unspecified
    cocaine dependence (F14.2-) names F14.2-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming F14.220: its condition is not part of those codes, and both may be reported when the patient has both.

  • F15 Other stimulant related disorders
    cocaine-related disorders (F14.-) names F14.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MBD021
Stimulant-related disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • 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 F14.220 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
292.2 Pathologic drug intox
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
304.20 Cocaine depend-unspec
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About F14.220Overview

What is the ICD-10 code for cocaine dependence with intoxication, uncomplicated?

The ICD-10-CM code for cocaine dependence with intoxication, uncomplicated is F14.220 (sometimes written as F14220). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is F14.220 (Cocaine dependence with intoxication) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report cocaine dependence with intoxication, uncomplicated on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does F14.220 group to?

When cocaine dependence with intoxication, uncomplicated 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 F14.220 be reported with F14.23?

Not as a rule. The Excludes1 note at F14.22, which applies to F14.220, lists "cocaine dependence with withdrawal (F14.23)". 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 F14.220?

Under the General Equivalence Mappings, cocaine dependence with intoxication, uncomplicated converts to ICD-9-CM 292.2 (pathologic drug intox) and 304.20 (cocaine depend-unspec). The mapping is approximate, so confirm the match fits the documentation.

What HCC is F14.220?

F14.220 (cocaine dependence with intoxication, uncomplicated) 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 F14.220 risk-adjust for Medicare Advantage payment?

Yes. When documented and reported on a Medicare Advantage encounter, F14.220 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.