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ICD-10 Guide
ICD-10 CodesF12.29

F12.29

Billable

Cannabis dependence with unspecified cannabis-induced disorder

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

Code Description

ICD-10 F12.29 is a billable code used to indicate a diagnosis of cannabis dependence with unspecified cannabis-induced disorder.

Key Diagnostic Point:

Cannabis dependence is characterized by a problematic pattern of cannabis use leading to clinically significant impairment or distress. Individuals may experience a strong desire to consume cannabis, develop tolerance, and experience withdrawal symptoms when not using. Cannabis-induced disorders can manifest in various forms, including mood disorders, anxiety disorders, and psychotic disorders, though this code specifies that the exact nature of the cannabis-induced disorder is unspecified. Symptoms may include irritability, insomnia, decreased appetite, and anxiety during withdrawal. Treatment often involves behavioral therapies, counseling, and support groups, with a focus on addressing both the dependence and any co-occurring mental health issues. The complexity of cannabis dependence is compounded by the varying legal status of cannabis across regions, which can affect treatment access and patient reporting. Accurate diagnosis and coding are essential for effective treatment planning and insurance reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in cannabis use patterns among patients
  • Diverse manifestations of cannabis-induced disorders
  • Legal and social implications affecting patient reporting
  • Need for comprehensive documentation of withdrawal symptoms

Audit Risk Factors

  • Inadequate documentation of withdrawal symptoms
  • Failure to specify the cannabis-induced disorder
  • Misclassification of cannabis use as recreational rather than dependent
  • Lack of evidence for treatment interventions

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, withdrawal symptoms, and treatment plans.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms, seeking treatment for cannabis dependence.

Billing Considerations

Consideration of co-occurring mental health disorders and legal implications of cannabis use.

Psychiatry

Documentation Requirements

Comprehensive mental health evaluations, including assessment of cannabis use and its impact on mental health.

Common Clinical Scenarios

Patients with anxiety or mood disorders exacerbated by cannabis use.

Billing Considerations

Differentiating between primary psychiatric disorders and those induced by cannabis.

Coding Guidelines

Inclusion Criteria

Use F12.29 When
  • According to ICD
  • 10 guidelines, F12
  • 29 should be used when cannabis dependence is diagnosed without specifying the cannabis
  • induced disorder
  • Documentation must support the diagnosis of dependence and any associated symptoms

Exclusion Criteria

Do NOT use F12.29 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

When a patient with cannabis dependence also seeks help for tobacco use.

Documentation Requirements

Document the patient's history of cannabis and tobacco use, treatment goals, and counseling provided.

Specialty Considerations

Addiction specialists may need to address both substance dependencies concurrently.

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, improving the ability to track and treat cannabis dependence and its associated complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cannabis-related disorders, improving the ability to track and treat cannabis dependence and its associated complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of cannabis-related disorders, improving the ability to track and treat cannabis dependence and its associated complications.

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 is the difference between cannabis dependence and cannabis use disorder?

Cannabis dependence refers specifically to the physiological and psychological reliance on cannabis, while cannabis use disorder encompasses a broader range of issues related to cannabis use, including dependence and the impact on daily functioning.