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ICD-10 Guide
ICD-10 CodesF12.120

F12.120

Billable

Cannabis abuse with intoxication, uncomplicated

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

Code Description

ICD-10 F12.120 is a billable code used to indicate a diagnosis of cannabis abuse with intoxication, uncomplicated.

Key Diagnostic Point:

Cannabis abuse with intoxication, uncomplicated, refers to a pattern of cannabis use that leads to clinically significant impairment or distress, characterized by the presence of intoxication symptoms without any complicating factors such as withdrawal or co-occurring mental health disorders. Symptoms of intoxication may include euphoria, altered perception, impaired coordination, and increased appetite. The diagnosis is made when the individual exhibits a problematic pattern of cannabis use, leading to significant impairment in social, occupational, or other important areas of functioning. It is essential to differentiate uncomplicated intoxication from more severe forms of cannabis use disorder, which may involve withdrawal symptoms or other complications. Treatment typically involves counseling, behavioral therapies, and support groups, focusing on reducing cannabis use and addressing any underlying issues contributing to substance use. Understanding the nuances of cannabis abuse and its effects on the individual is crucial for effective treatment and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between uncomplicated intoxication and more severe cannabis use disorders.
  • Understanding the nuances of cannabis-related symptoms and their impact on functioning.
  • Navigating the evolving legal status of cannabis in various jurisdictions.
  • Recognizing co-occurring mental health disorders that may complicate the diagnosis.

Audit Risk Factors

  • Inadequate documentation of the patient's history of cannabis use.
  • Failure to document the impact of cannabis use on daily functioning.
  • Misclassification of uncomplicated intoxication as a more severe disorder.
  • Lack of evidence supporting the diagnosis in the medical record.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use history, current symptoms, and impact on functioning.

Common Clinical Scenarios

Patients presenting with acute intoxication, seeking help for cannabis-related issues.

Billing Considerations

Consideration of legal implications and the patient's understanding of cannabis use.

Psychiatry

Documentation Requirements

Detailed mental health evaluation, including assessment for co-occurring disorders.

Common Clinical Scenarios

Patients with a history of mental health issues exacerbated by cannabis use.

Billing Considerations

Need for a thorough psychiatric assessment to rule out other mental health conditions.

Coding Guidelines

Inclusion Criteria

Use F12.120 When
  • According to ICD
  • 10 coding guidelines, F12
  • 120 should be used when a patient presents with symptoms of cannabis intoxication without withdrawal or other complicating factors
  • Documentation must support the diagnosis, including a clear history of cannabis use and its impact on the patient's life

Exclusion Criteria

Do NOT use F12.120 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Behavioral health assessment

Clinical Scenario

Used when assessing a patient for cannabis abuse.

Documentation Requirements

Document the assessment findings and treatment recommendations.

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 accuracy of diagnoses and treatment plans. F12.120 provides a clear distinction between uncomplicated intoxication and more severe forms of cannabis use disorder, facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cannabis-related disorders, improving the accuracy of diagnoses and treatment plans. F12.120 provides a clear distinction between uncomplicated intoxication and more severe forms of cannabis use disorder, facilitating better patient management.

Reimbursement & Billing Impact

impact of cannabis use on their life. Providers must ensure that all services rendered are well-documented to support the diagnosis and treatment plan.

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 refers to a pattern of use that leads to significant impairment or distress without withdrawal symptoms, while cannabis dependence involves a more severe pattern of use with withdrawal symptoms and a higher level of impairment.