F14.980 Cocaine use, unspecified with cocaine-induced anxiety disorder

ICD-10-CM F14.980: Cocaine use, unspecified with cocaine-induced anxiety disorder

ICD-10-CM code F14.980 represents a diagnosis of cocaine use, unspecified, accompanied by a cocaine-induced anxiety disorder. The code is billable for medical coding purposes and falls under the mental, behavioral, and neurodevelopmental disorders chapter. Public health sources note that cocaine use can produce anxiety, and clinical literature identifies cocaine-induced anxiety disorder as a condition that can accompany cocaine dependence. 3 1 2

Plain-language overview

Anxiety involves feelings of fear, dread, and uneasiness, and individuals who use cocaine may report experiencing anxiety, panic, and paranoia as associated effects. 5 1

What this code represents

F14.980 is the ICD-10-CM diagnosis code for cocaine use, unspecified with cocaine-induced anxiety disorder, and it is designated as a billable code for use in 2026. 3 6

This code sits in the ICD-10-CM chapter for mental, behavioral, and neurodevelopmental disorders, specifically within the section covering mental and behavioral disorders due to psychoactive substance use. 3

Coding details

ICD-10-CM does not list any Excludes 1 notes, Excludes 2 notes, or Includes notes for F14.980 during the current effective period. 3

The F14 coding category contains distinct diagnoses for cocaine abuse, dependence, and unspecified use, with F14.980 specifically denoting unspecified use with an induced anxiety disorder. 4

Documentation considerations

Clinical literature identifies cocaine-induced anxiety disorder as a secondary psychiatric disorder that can accompany cocaine dependence, and pharmacologic treatments may be necessary to target these secondary conditions. 2

Coverage and utilization context

Under the CMS-HCC V28 risk adjustment model, F14.980 maps to Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications, with a community non-dual aged base RAF weight of 0.424. 3

Under the older CMS-HCC V24 model, F14.980 maps to Substance Use Disorder, Moderate/Severe, or Substance Use with Complications, carrying a community non-dual aged base RAF weight of 0.329. 3

What the sources add

While coding sources define F14.980 as a billable diagnosis for unspecified cocaine use with induced anxiety, clinical sources establish that cocaine use can produce anxiety and that cocaine-induced anxiety disorder is a documented psychiatric condition accompanying cocaine dependence. 3 1 2

Sources

1. Cocaine | National Institute on Drug Abuse — nida.nih.gov; accessed 2026-07-25.
2. Cocaine and Psychiatric Symptoms — pmc.ncbi.nlm.nih.gov; accessed 2026-07-25.
3. 2026 ICD-10-CM F14.980: Cocaine use, unspecified | HCC 137 — hccbuddy.com; accessed 2026-07-25.
4. ICD-10 F14 Cocaine Codes: Abuse, Dependence, | Behave Health — behavehealth.com; accessed 2026-07-25.
5. F14.980 — Cocaine use, unspecified with cocaine-induced anxiety disorder | ICD-10 Code · Eleplan — eleplan.com; accessed 2026-07-25.
6. F14.980 ICD-10-CM Code — Cocaine use, unspecified with cocaine-indu… — simplepractice.com; accessed 2026-07-25.