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ICD-10 Guide
ICD-10 CodesF12.20

F12.20

Billable

Cannabis dependence, uncomplicated

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

Code Description

ICD-10 F12.20 is a billable code used to indicate a diagnosis of cannabis dependence, uncomplicated.

Key Diagnostic Point:

Cannabis dependence, classified under ICD-10 code F12.20, refers to a pattern of cannabis use that leads to significant impairment or distress. This condition is characterized by a strong desire or compulsion to use cannabis, difficulty in controlling its use, and continued use despite negative consequences. Patients may experience tolerance, requiring larger amounts to achieve the desired effect, and withdrawal symptoms when not using the substance. Uncomplicated cannabis dependence does not involve severe complications such as psychotic disorders or other substance use disorders. The diagnosis is made based on clinical assessment, including patient history and behavioral observations. Treatment typically involves counseling, behavioral therapies, and support groups, focusing on reducing cannabis use and addressing underlying issues contributing to dependence. Understanding the nuances of cannabis dependence is crucial for effective treatment and accurate coding, as it impacts patient care and insurance reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and symptoms
  • Need for comprehensive documentation of substance use history
  • Differentiation from other substance use disorders
  • Potential for co-occurring mental health conditions

Audit Risk Factors

  • Inadequate documentation of substance use history
  • Failure to document withdrawal symptoms
  • Misclassification of dependence versus abuse
  • Lack of evidence for treatment interventions

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed substance use history, treatment plans, and progress notes.

Common Clinical Scenarios

Patients seeking help for cannabis use, those in recovery programs, and individuals experiencing withdrawal symptoms.

Billing Considerations

Ensure documentation reflects the severity of dependence and any co-occurring disorders.

Psychiatry

Documentation Requirements

Comprehensive mental health evaluations, including assessment of cannabis use and its impact on mental health.

Common Clinical Scenarios

Patients with cannabis dependence presenting with anxiety, depression, or psychotic symptoms.

Billing Considerations

Document any psychiatric evaluations and treatment plans that address both cannabis dependence and mental health issues.

Coding Guidelines

Inclusion Criteria

Use F12.20 When
  • According to ICD
  • 10 guidelines, F12
  • 20 should be used when cannabis dependence is diagnosed without complications
  • Coders must ensure that the diagnosis is supported by clinical documentation and that it meets the criteria outlined in the DSM
  • 5 for substance use disorders

Exclusion Criteria

Do NOT use F12.20 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 for counseling patients with cannabis dependence who are seeking to reduce or quit use.

Documentation Requirements

Document the counseling session details, including patient goals and progress.

Specialty Considerations

Addiction specialists should ensure that the counseling is tailored to address cannabis use specifically.

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 dependence effectively. This specificity aids in research and 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 cannabis dependence effectively. This specificity aids in research and 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 cannabis dependence effectively. This specificity aids in research and 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 dependence and cannabis abuse?

Cannabis dependence involves a compulsive pattern of use leading to significant impairment or distress, while cannabis abuse refers to a pattern of use that may lead to negative consequences but does not meet the criteria for dependence.