2026 ICD-10-CM Diagnosis Code F14.921Cocaine use, unspecified with intoxication delirium

ICD-10-CM Codes›F01–F99›F10-F19›F14

ICD-10-CM F14.921
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

F14.921 is a billable ICD-10-CM diagnosis code for cocaine use, unspecified with intoxication delirium. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 894 through 897. Coders also document this condition as cocaine intoxication delirium. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Stimulant-related disorders.

Code Identity

ICD-10-CM Code
F14.921
Billable Status
Yes — Valid for Submission
Code Describes
Cocaine use, unspecified with intoxication delirium
Short Description
Cocaine use, unspecified with intoxication delirium
Same as the full description in the CMS dataset.
Parent Code
F14.92
Cocaine use, unspecified with intoxication

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF10-F19Mental and behavioral disorders due to psychoactive substance use
CategoryF14Cocaine related disorders
This CodeF14.921Cocaine use, unspecified with intoxication delirium

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Cocaine intoxication delirium
  • Delirium caused by cocaine
  • Delirium caused by stimulant

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Delirium, delirious(acute or subacute) (not alcohol- or drug-induced)
      • due to (secondary to)
        • cocaine intoxication (acute)
    • Use(of)
      • cocaine
        • with
          • intoxication
            • with
              • delirium

Clinical ClassificationClinical

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

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

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 F14.921 to ICD-9-CMHistory

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

ICD-9-CM
292.81 Drug-induced delirium
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About F14.921Overview

Is F14.921 (Cocaine use, unspecified with intoxication) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report cocaine use, unspecified with intoxication delirium on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does F14.921 group to?

When cocaine use, unspecified with intoxication delirium is the principal diagnosis on an inpatient stay, it groups to MS-DRG 894, 895, 896, 897, with relative weights from 0.6169 to 1.7451 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of F14.921?

Under the General Equivalence Mappings, cocaine use, unspecified with intoxication delirium converts to ICD-9-CM 292.81 (drug-induced delirium). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.