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ICD-10 Guide
ICD-10 CodesF12.13

F12.13

Billable

Cannabis abuse with withdrawal

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

Code Description

ICD-10 F12.13 is a billable code used to indicate a diagnosis of cannabis abuse with withdrawal.

Key Diagnostic Point:

Cannabis abuse with withdrawal refers to a pattern of cannabis use that leads to clinically significant impairment or distress, characterized by the development of withdrawal symptoms upon cessation or reduction of cannabis use. Withdrawal symptoms may include irritability, insomnia, decreased appetite, anxiety, and physical discomfort. The diagnosis is made when an individual meets the criteria for cannabis use disorder and experiences withdrawal symptoms after a period of heavy use. This condition is increasingly recognized as a significant public health issue, particularly as cannabis becomes more widely legalized and accessible. Treatment often involves behavioral therapies, counseling, and support groups, focusing on managing withdrawal symptoms and preventing relapse. Understanding the complexities of cannabis withdrawal is essential for effective treatment and recovery, as it can significantly impact an individual's mental and physical health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in withdrawal symptoms among individuals
  • 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 withdrawal symptoms
  • Failure to document the severity of cannabis use
  • Lack of evidence for a formal diagnosis of cannabis use disorder
  • Misclassification of cannabis use disorder as a different substance use disorder

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, withdrawal symptoms, and treatment plans.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms after cessation of cannabis use.

Billing Considerations

Consideration of co-occurring mental health disorders and comprehensive treatment plans.

Psychiatry

Documentation Requirements

Thorough psychiatric evaluation and documentation of mental health history.

Common Clinical Scenarios

Patients with cannabis use disorder presenting with anxiety or mood disorders.

Billing Considerations

Differentiating between primary psychiatric disorders and substance-induced symptoms.

Coding Guidelines

Inclusion Criteria

Use F12.13 When
  • According to ICD
  • 10 guidelines, F12
  • 13 should be used when a patient meets the criteria for cannabis use disorder and exhibits withdrawal symptoms
  • Documentation must clearly indicate the severity and duration of cannabis use, as well as the specific withdrawal symptoms experienced

Exclusion Criteria

Do NOT use F12.13 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

Used in conjunction with treatment for cannabis withdrawal.

Documentation Requirements

Document the counseling session and patient progress.

Specialty Considerations

Addiction specialists may use this code for comprehensive treatment plans.

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 abuse and withdrawal effectively. This specificity aids in research and resource allocation for treatment programs.

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 abuse and withdrawal effectively. This specificity aids in research and resource allocation for treatment programs.

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 abuse and withdrawal effectively. This specificity aids in research and resource allocation for treatment programs.

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 are the common withdrawal symptoms associated with cannabis abuse?

Common withdrawal symptoms include irritability, anxiety, insomnia, decreased appetite, and physical discomfort. These symptoms can vary in intensity and duration depending on the individual's usage patterns.