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ICD-10 Guide
ICD-10 CodesF12.92

F12.92

Billable

Cannabis use, unspecified with intoxication

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

Code Description

ICD-10 F12.92 is a billable code used to indicate a diagnosis of cannabis use, unspecified with intoxication.

Key Diagnostic Point:

Cannabis use disorder is characterized by a problematic pattern of cannabis use leading to clinically significant impairment or distress. The diagnosis of cannabis use, unspecified with intoxication, indicates that the individual is experiencing the effects of cannabis, which may include euphoria, relaxation, altered perception, and impaired coordination. Intoxication can lead to cognitive impairment, anxiety, and in some cases, psychotic symptoms. The severity of the disorder can vary, and it is essential to assess the frequency and quantity of use, as well as the impact on the individual's daily functioning. Treatment options may include behavioral therapies, counseling, and support groups, focusing on reducing use and addressing underlying issues related to substance use. Accurate coding requires careful documentation of the patient's history, current use patterns, and any co-occurring mental health conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and symptoms
  • Need for comprehensive documentation of substance use history
  • Differentiation from other substance use disorders
  • Potential for co-occurring mental health disorders

Audit Risk Factors

  • Inadequate documentation of intoxication symptoms
  • Failure to document the frequency and quantity of cannabis use
  • Misclassification of cannabis use disorder severity
  • Lack of evidence for co-occurring mental health conditions

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, including onset, frequency, and impact on functioning.

Common Clinical Scenarios

Patients presenting with acute intoxication, withdrawal symptoms, or seeking treatment for cannabis use disorder.

Billing Considerations

Consideration of co-occurring mental health disorders and the need for a multidisciplinary treatment approach.

Psychiatry

Documentation Requirements

Comprehensive psychiatric evaluation, including mental status examination and assessment of substance use history.

Common Clinical Scenarios

Patients with cannabis-induced psychosis or anxiety disorders exacerbated by cannabis use.

Billing Considerations

Differentiating between primary psychiatric disorders and those secondary to substance use.

Coding Guidelines

Inclusion Criteria

Use F12.92 When
  • Follow ICD
  • CM guidelines for substance use disorders, ensuring accurate documentation of the patient's history and current state
  • Include details on the severity of intoxication and any co
  • occurring conditions

Exclusion Criteria

Do NOT use F12.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Assessment and treatment planning

Clinical Scenario

Used when assessing a patient for cannabis use disorder.

Documentation Requirements

Document the assessment findings and treatment plan.

Specialty Considerations

Addiction specialists should ensure comprehensive evaluations.

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 use disorders effectively.

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 use disorders effectively.

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 use disorders effectively.

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 F12.90 and F12.92?

F12.90 is used for cannabis use without intoxication, while F12.92 specifically indicates that the patient is currently experiencing intoxication from cannabis use.