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ICD-10 Guide
ICD-10 CodesF12.21

F12.21

Billable

Cannabis dependence, in remission

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

Code Description

ICD-10 F12.21 is a billable code used to indicate a diagnosis of cannabis dependence, in remission.

Key Diagnostic Point:

Cannabis dependence, in remission, refers to a condition where an individual has previously met the criteria for cannabis dependence but is currently not exhibiting symptoms of the disorder. This diagnosis is characterized by a significant reduction or cessation of cannabis use, leading to the absence of withdrawal symptoms or cravings. The individual may have previously experienced a range of symptoms, including tolerance, withdrawal, and continued use despite negative consequences. In remission indicates that the individual has not used cannabis for a specified period, typically at least three months, and is functioning well in daily life. Treatment for cannabis dependence may include behavioral therapies, counseling, and support groups, focusing on coping strategies and lifestyle changes to maintain abstinence. Monitoring and follow-up are essential to ensure continued remission and to address any potential relapse triggers.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between active dependence and remission status
  • Need for comprehensive patient history to confirm remission
  • Variability in treatment approaches and documentation requirements
  • Potential overlap with other substance use disorders

Audit Risk Factors

  • Inadequate documentation of remission status
  • Failure to specify the duration of abstinence
  • Lack of follow-up notes indicating ongoing monitoring
  • Misclassification of active dependence versus remission

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed patient history, treatment plans, and progress notes indicating remission.

Common Clinical Scenarios

Patients transitioning from active treatment to maintenance, follow-up visits post-recovery.

Billing Considerations

Documentation must clearly indicate the duration of remission and any ongoing support or therapy.

Psychiatry

Documentation Requirements

Comprehensive mental health assessments, including substance use history and current mental status.

Common Clinical Scenarios

Patients with co-occurring mental health disorders and substance use issues.

Billing Considerations

Consideration of comorbid conditions that may affect treatment and recovery.

Coding Guidelines

Inclusion Criteria

Use F12.21 When
  • According to ICD
  • 10 guidelines, F12
  • 21 should be used when there is clear evidence of remission from cannabis dependence
  • Documentation must support the absence of withdrawal symptoms and the duration of abstinence
  • It is essential to differentiate this code from active dependence codes

Exclusion Criteria

Do NOT use F12.21 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Behavioral health assessment

Clinical Scenario

Used during initial evaluations for patients with a history of cannabis dependence.

Documentation Requirements

Comprehensive assessment notes detailing substance use history and current status.

Specialty Considerations

Addiction specialists should ensure thorough documentation to support the diagnosis.

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, including the ability to denote remission status, which was less clearly defined in ICD-9. This specificity aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cannabis-related disorders, including the ability to denote remission status, which was less clearly defined in ICD-9. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of cannabis-related disorders, including the ability to denote remission status, which was less clearly defined in ICD-9. This specificity aids in better tracking of treatment outcomes and resource allocation.

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 does 'in remission' mean in the context of cannabis dependence?

'In remission' indicates that the individual has not used cannabis for a specified period and is not experiencing withdrawal symptoms or cravings, reflecting a significant improvement in their condition.