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ICD-10 Guide
ICD-10 CodesF12.10

F12.10

Billable

Cannabis abuse, uncomplicated

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

Code Description

ICD-10 F12.10 is a billable code used to indicate a diagnosis of cannabis abuse, uncomplicated.

Key Diagnostic Point:

Cannabis abuse, classified under ICD-10 code F12.10, refers to a pattern of cannabis use that leads to significant impairment or distress but does not meet the criteria for cannabis dependence or withdrawal. This condition is characterized by the recurrent use of cannabis despite negative consequences, such as social, occupational, or legal problems. Patients may exhibit a strong desire to use cannabis, increased tolerance, and continued use despite awareness of its harmful effects. Unlike cannabis dependence, uncomplicated cannabis abuse does not involve withdrawal symptoms or a compulsive pattern of use. Clinically, it is essential to assess the frequency and context of use, as well as any co-occurring mental health disorders. Treatment typically involves behavioral interventions, counseling, and support groups, focusing on reducing use and addressing underlying issues. The absence of complications makes this diagnosis less severe than cannabis dependence, yet it still requires careful management to prevent escalation into more serious substance use disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between uncomplicated abuse and dependence
  • Understanding the nuances of cannabis-related disorders
  • Documenting the impact of cannabis use on daily functioning
  • Identifying co-occurring mental health conditions

Audit Risk Factors

  • Inadequate documentation of the patient's cannabis use history
  • Failure to document the impact of cannabis use on daily life
  • Misclassification of cannabis abuse as dependence
  • Lack of evidence for behavioral interventions provided

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, mental status examination, and treatment plan.

Common Clinical Scenarios

Patients presenting with anxiety or mood disorders who also use cannabis.

Billing Considerations

Consideration of the patient's overall mental health and any co-occurring disorders.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use, including frequency and context.

Common Clinical Scenarios

Patients seeking help for substance use issues, including cannabis.

Billing Considerations

Focus on harm reduction strategies and patient education.

Coding Guidelines

Inclusion Criteria

Use F12.10 When
  • According to ICD
  • 10 guidelines, F12
  • 10 is used when cannabis abuse is present without complications
  • Documentation must support the diagnosis, including the impact on the patient's life and any treatment provided

Exclusion Criteria

Do NOT use F12.10 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

Used when counseling patients about cannabis use cessation.

Documentation Requirements

Document the patient's cannabis use history and counseling provided.

Specialty Considerations

Addiction specialists may focus on harm reduction strategies.

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 these conditions 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 these conditions 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 these conditions 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 cannabis abuse and dependence?

Cannabis abuse involves using cannabis despite negative consequences, while dependence includes withdrawal symptoms and a compulsive pattern of use.