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ICD-10 Guide
ICD-10 CodesF12.19

F12.19

Billable

Cannabis abuse with unspecified cannabis-induced disorder

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

Code Description

ICD-10 F12.19 is a billable code used to indicate a diagnosis of cannabis abuse with unspecified cannabis-induced disorder.

Key Diagnostic Point:

Cannabis abuse with unspecified cannabis-induced disorder refers to a pattern of cannabis use that leads to significant impairment or distress, characterized by a range of behavioral, psychological, and physiological symptoms. This diagnosis encompasses individuals who may experience negative consequences from their cannabis use but do not meet the criteria for a more specific cannabis-induced disorder, such as cannabis intoxication or withdrawal. Symptoms may include increased tolerance, cravings, and continued use despite adverse effects on social, occupational, or other areas of functioning. The unspecified nature of the disorder indicates that the clinician has not identified a specific cannabis-induced condition, which may complicate treatment planning. Treatment typically involves behavioral therapies, counseling, and support groups, focusing on reducing cannabis use and addressing underlying psychological issues. The lack of specificity in the diagnosis can lead to challenges in treatment, as it may not provide clear guidance on the most effective interventions for the individual’s needs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptoms and severity of cannabis use disorders.
  • Need for comprehensive patient history to determine the extent of abuse.
  • Potential overlap with other substance use disorders.
  • Lack of specificity in the diagnosis may lead to misinterpretation.

Audit Risk Factors

  • Inadequate documentation of cannabis use history.
  • Failure to specify the nature of cannabis-induced disorder.
  • Lack of evidence for treatment interventions provided.
  • Inconsistent coding practices among providers.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, treatment history, and psychosocial factors.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms, cravings, or co-occurring mental health disorders.

Billing Considerations

Consideration of comorbid conditions and the need for a multidisciplinary approach to treatment.

Psychiatry

Documentation Requirements

Comprehensive psychiatric evaluation, including mental status examination and risk assessment.

Common Clinical Scenarios

Patients with mood disorders exacerbated by cannabis use or those seeking help for cannabis-related issues.

Billing Considerations

Assessment of underlying mental health conditions that may influence cannabis use.

Coding Guidelines

Inclusion Criteria

Use F12.19 When
  • According to ICD
  • 10 guidelines, F12
  • 19 should be used when cannabis abuse is present without a specified cannabis
  • induced disorder
  • Coders must ensure that the diagnosis aligns with documented symptoms and treatment plans

Exclusion Criteria

Do NOT use F12.19 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Assessment of substance use disorder

Clinical Scenario

Used during initial evaluation of cannabis abuse.

Documentation Requirements

Complete assessment of substance use history and current functioning.

Specialty Considerations

Addiction specialists may require additional assessments.

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. F12.19 provides a clear designation for cases where cannabis abuse is present without a specified disorder.

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. F12.19 provides a clear designation for cases where cannabis abuse is present without a specified disorder.

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. F12.19 provides a clear designation for cases where cannabis abuse is present without a specified disorder.

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, while cannabis dependence indicates a more severe level of use characterized by tolerance, withdrawal, and compulsive use.