Is ICD-10-CM code F14 billable?

No, F14 (Cocaine related disorders) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code F14 belong to?

F14 belongs to Chapter 5 of the ICD-10-CM tabular list: F01–F99 (Mental, Behavioral and Neurodevelopmental Disorders).

F14Not billable, use a more specific code below

Cocaine related disorders

In Mental and behavioral disorders due to psychoactive substance use (F10-F19), chapter 5: Mental, Behavioral and Neurodevelopmental Disorders

48 billable codes under F14: 20 are a CC; 46 map to HCC 137 (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), HCC 135 (Drug Use with Psychotic Complications), HCC 138 (Drug Use Disorder, Mild, Uncomplicated, Except Cannabis).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.

Instructional notes

Excludes2: not included here, code separately if applicable

other stimulant-related disorders (F15.-)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Section I.C.5.b Mental and behavioral disorders due to psychoactive substance use (page 43), covers F14
Code only one pattern per substance: dependence outranks abuse and use, and abuse outranks use. Remission and unspecified use codes need provider documentation; code medical conditions separately with the substance code.

All codes under F14

F14 can't be used on a claim. Pick a billable code below; grey headings group them.

F14 MS-DRGs

As the principal diagnosis, the billable codes under F14 group to MS-DRG 894, 895, 896, 897, 791, or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 894 Alcohol, Drug Abuse or Dependence, Left AMA (48 of 48 codes)
DRG 895 Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy (48 of 48 codes)
DRG 896 Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC (48 of 48 codes)
DRG 897 Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC (48 of 48 codes)
DRG 791 Prematurity with Major Problems (3 of 48 codes)
DRG 793 Full Term Neonate with Major Problems (3 of 48 codes)

Other codes that refer to F14

Notes on these codes point to F14.

F15 Excludes2: cocaine-related disorders (F14.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

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.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.