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ICD-10 Guide
ICD-10 CodesF12.18

F12.18

Billable

Cannabis abuse with other cannabis-induced disorder

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

Code Description

ICD-10 F12.18 is a billable code used to indicate a diagnosis of cannabis abuse with other cannabis-induced disorder.

Key Diagnostic Point:

Cannabis abuse with other cannabis-induced disorder refers to a pattern of cannabis use that leads to clinically significant impairment or distress, accompanied by other cannabis-induced disorders. This may include conditions such as cannabis-induced anxiety disorder, cannabis-induced psychotic disorder, or cannabis-induced mood disorder. Patients may exhibit symptoms such as increased tolerance, withdrawal symptoms, and continued use despite negative consequences. The diagnosis requires a thorough assessment of the patient's history, including the frequency and quantity of cannabis use, the presence of co-occurring mental health disorders, and the impact of cannabis on daily functioning. Treatment often involves a combination of behavioral therapies, counseling, and support groups, with a focus on addressing both the substance use and any co-occurring mental health issues. Clinicians must be vigilant in monitoring for withdrawal symptoms, which can include irritability, insomnia, and decreased appetite, as well as the potential for cannabis-induced disorders that may complicate the clinical picture.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between cannabis abuse and other cannabis-induced disorders
  • Identifying co-occurring mental health conditions
  • Documenting the severity and impact of symptoms
  • Understanding the nuances of cannabis withdrawal symptoms

Audit Risk Factors

  • Inadequate documentation of cannabis use history
  • Failure to document co-occurring disorders
  • Lack of evidence for severity of symptoms
  • Insufficient follow-up documentation

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed mental health assessment, including history of substance use and co-occurring disorders.

Common Clinical Scenarios

Patients presenting with anxiety or mood disorders exacerbated by cannabis use.

Billing Considerations

Consideration of the patient's overall mental health and potential for dual diagnosis.

Addiction Medicine

Documentation Requirements

Comprehensive substance use history and assessment of withdrawal symptoms.

Common Clinical Scenarios

Patients seeking treatment for cannabis dependence or withdrawal.

Billing Considerations

Focus on the impact of cannabis on daily functioning and the need for integrated treatment approaches.

Coding Guidelines

Inclusion Criteria

Use F12.18 When
  • According to ICD
  • 10 guidelines, F12
  • 18 should be used when cannabis abuse is accompanied by other cannabis
  • induced disorders
  • Documentation must clearly indicate the presence of both conditions, and the severity of symptoms must be assessed

Exclusion Criteria

Do NOT use F12.18 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit, intermediate

Clinical Scenario

Used when counseling patients on cannabis cessation.

Documentation Requirements

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

Specialty Considerations

Addiction specialists may provide more intensive counseling.

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. F12.18 provides a clear framework for identifying patients with complex cannabis-related issues.

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. F12.18 provides a clear framework for identifying patients with complex cannabis-related issues.

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. F12.18 provides a clear framework for identifying patients with complex cannabis-related issues.

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 the harmful use of cannabis that leads to significant impairment or distress, while cannabis dependence involves a more severe pattern of use characterized by tolerance, withdrawal symptoms, and compulsive use despite negative consequences.