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ICD-10 Guide
ICD-10 CodesF12.11

F12.11

Billable

Cannabis abuse, in remission

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

Code Description

ICD-10 F12.11 is a billable code used to indicate a diagnosis of cannabis abuse, in remission.

Key Diagnostic Point:

Cannabis abuse, classified under F12.11, refers to a pattern of cannabis use that leads to significant impairment or distress but is currently in a state of remission. This condition is characterized by a history of cannabis use disorder symptoms, such as cravings, tolerance, and withdrawal, which have been resolved or significantly reduced. Remission can be classified as either partial or full, depending on the absence or presence of specific symptoms. Clinically, individuals may have previously experienced negative consequences related to their cannabis use, including social, occupational, or legal issues. Treatment for cannabis abuse often involves behavioral therapies, counseling, and support groups, focusing on relapse prevention and coping strategies. The transition to remission may involve ongoing monitoring and support to maintain abstinence and address any potential triggers for relapse. Understanding the nuances of cannabis abuse and its remission is crucial for accurate diagnosis and coding, as it reflects the patient's current status and treatment needs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between active abuse and remission status
  • Understanding the nuances of substance use disorder classifications
  • Documenting the history of substance use accurately
  • Identifying co-occurring mental health disorders

Audit Risk Factors

  • Inadequate documentation of remission status
  • Failure to document previous cannabis use disorder symptoms
  • Misclassification of active use versus remission
  • Lack of follow-up documentation on treatment progress

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Comprehensive history of substance use, treatment plans, and progress notes.

Common Clinical Scenarios

Patients seeking help for cannabis use, undergoing detoxification, or participating in outpatient programs.

Billing Considerations

Ensure accurate documentation of remission status and any ongoing treatment or support.

Psychiatry

Documentation Requirements

Mental health assessments, treatment plans, and any co-occurring disorders.

Common Clinical Scenarios

Patients with cannabis use disorder presenting with anxiety or depression.

Billing Considerations

Document any psychiatric evaluations and the impact of cannabis on mental health.

Coding Guidelines

Inclusion Criteria

Use F12.11 When
  • According to ICD
  • 10 guidelines, F12
  • 11 should be used when a patient has a documented history of cannabis abuse but is currently in remission
  • It is essential to differentiate this from active use or dependence, which would require different coding

Exclusion Criteria

Do NOT use F12.11 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 on cessation of cannabis use.

Documentation Requirements

Document the duration and frequency of counseling sessions.

Specialty Considerations

Addiction specialists should ensure comprehensive treatment plans are documented.

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 substance use disorders effectively. F12.11 provides a clear distinction between active abuse and remission, aiding in treatment planning.

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 substance use disorders effectively. F12.11 provides a clear distinction between active abuse and remission, aiding in treatment planning.

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 substance use disorders effectively. F12.11 provides a clear distinction between active abuse and remission, aiding in treatment planning.

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 does 'in remission' mean in the context of cannabis abuse?

In remission indicates that the individual has not met the criteria for cannabis use disorder for a specified period, reflecting a significant reduction or absence of symptoms.