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ICD-10 Guide
ICD-10 CodesF12.222

F12.222

Billable

Cannabis dependence with intoxication with perceptual disturbance

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F12.222 is a billable code used to indicate a diagnosis of cannabis dependence with intoxication with perceptual disturbance.

Key Diagnostic Point:

Cannabis dependence with intoxication with perceptual disturbance refers to a condition where an individual exhibits a compulsive pattern of cannabis use, leading to significant impairment or distress. This diagnosis is characterized by the presence of perceptual disturbances, such as altered sensory perceptions, hallucinations, or distortions in reality, occurring during or shortly after cannabis use. Patients may experience heightened sensory experiences, such as intensified colors or sounds, or may have difficulty distinguishing between reality and hallucinations. The dependence aspect indicates that the individual has developed a tolerance to cannabis, requiring increased amounts to achieve the desired effects, and may experience withdrawal symptoms when not using the substance. This condition can significantly impact social, occupational, and personal functioning, necessitating comprehensive treatment approaches that may include behavioral therapies, counseling, and support groups to address both the dependence and the perceptual disturbances associated with intoxication.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between dependence and intoxication symptoms
  • Identifying perceptual disturbances accurately
  • Documenting the severity and impact on daily functioning
  • Understanding the nuances of cannabis-related disorders

Audit Risk Factors

  • Inadequate documentation of perceptual disturbances
  • Failure to differentiate between intoxication and withdrawal symptoms
  • Lack of evidence for the diagnosis of dependence
  • Misclassification of the severity of the condition

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Comprehensive mental health evaluations, including history of substance use, current symptoms, and impact on functioning.

Common Clinical Scenarios

Patients presenting with anxiety, paranoia, or hallucinations after cannabis use.

Billing Considerations

Consideration of co-occurring mental health disorders and the need for integrated treatment plans.

Addiction Medicine

Documentation Requirements

Detailed substance use history, assessment of dependence severity, and treatment plans.

Common Clinical Scenarios

Patients seeking help for cannabis use disorder and related complications.

Billing Considerations

Focus on harm reduction strategies and patient education regarding cannabis use.

Coding Guidelines

Inclusion Criteria

Use F12.222 When
  • According to ICD
  • 10 guidelines, F12
  • 222 should be used when there is clear documentation of cannabis dependence accompanied by perceptual disturbances during intoxication
  • It is essential to ensure that the diagnosis aligns with the clinical presentation and that all relevant symptoms are documented

Exclusion Criteria

Do NOT use F12.222 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Assessment of substance use disorder

Clinical Scenario

Used when evaluating a patient for cannabis dependence and associated symptoms.

Documentation Requirements

Detailed assessment notes including history, symptoms, and treatment plan.

Specialty Considerations

Psychiatric evaluations should include mental status exams and substance use history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of cannabis-related disorders, enabling better tracking of prevalence and treatment outcomes. F12.222 provides a clear framework for identifying patients with both dependence and perceptual disturbances, facilitating targeted interventions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cannabis-related disorders, enabling better tracking of prevalence and treatment outcomes. F12.222 provides a clear framework for identifying patients with both dependence and perceptual disturbances, facilitating targeted interventions.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Coding & Billing References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Frequently Asked Questions

What are the key symptoms of cannabis dependence with intoxication?

Key symptoms include compulsive cannabis use, tolerance, withdrawal symptoms, and perceptual disturbances such as hallucinations or altered sensory perceptions during intoxication.