ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesF12.12

F12.12

Billable

Cannabis abuse with intoxication

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

Code Description

ICD-10 F12.12 is a billable code used to indicate a diagnosis of cannabis abuse with intoxication.

Key Diagnostic Point:

Cannabis abuse with intoxication refers to a pattern of cannabis use that leads to significant impairment or distress, characterized by the consumption of cannabis in excess of intended amounts, persistent desire or unsuccessful efforts to cut down, and continued use despite social or interpersonal problems caused by the substance. Intoxication is marked by symptoms such as euphoria, altered perception, impaired coordination, and cognitive impairment. The diagnosis requires that these symptoms occur within a specific timeframe and are not attributable to another medical condition or substance. Treatment often involves behavioral therapies, counseling, and support groups, focusing on reducing use and addressing underlying issues related to substance use disorders. It is essential for healthcare providers to document the severity of the abuse, the impact on the patient's life, and any co-occurring mental health conditions to ensure appropriate coding and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between abuse and dependence
  • Documenting the severity of intoxication
  • Identifying co-occurring mental health disorders
  • Understanding the nuances of substance use disorder criteria

Audit Risk Factors

  • Inadequate documentation of intoxication symptoms
  • Failure to document the impact on daily functioning
  • Misclassification of cannabis use disorder severity
  • Lack of evidence for co-occurring disorders

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use history, current use patterns, and psychosocial factors.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms, seeking treatment for cannabis use, or experiencing complications from use.

Billing Considerations

Ensure accurate documentation of the patient's history and any co-occurring mental health conditions.

Psychiatry

Documentation Requirements

Detailed mental health evaluations, including assessment of mood, anxiety, and cognitive function.

Common Clinical Scenarios

Patients with cannabis use disorder presenting with anxiety, depression, or psychotic symptoms.

Billing Considerations

Document the relationship between cannabis use and psychiatric symptoms to support diagnosis.

Coding Guidelines

Inclusion Criteria

Use F12.12 When
  • According to ICD
  • 10 guidelines, F12
  • 12 should be used when there is evidence of cannabis abuse accompanied by intoxication symptoms
  • It is important to document the duration and severity of symptoms, as well as any co
  • occurring conditions

Exclusion Criteria

Do NOT use F12.12 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Behavioral health assessment

Clinical Scenario

Used for initial assessment of cannabis abuse.

Documentation Requirements

Comprehensive assessment of substance use history and current functioning.

Specialty Considerations

Addiction specialists should ensure thorough documentation of all relevant factors.

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. F12.12 provides a clear distinction between abuse and dependence, facilitating better 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. F12.12 provides a clear distinction between abuse and dependence, facilitating better 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. F12.12 provides a clear distinction between abuse and dependence, facilitating better 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 is the difference between cannabis abuse and cannabis dependence?

Cannabis abuse involves a pattern of use leading to significant impairment or distress, while dependence includes a stronger compulsion to use, tolerance, and withdrawal symptoms.