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ICD-10 Guide
ICD-10 CodesF12.22

F12.22

Billable

Cannabis dependence with intoxication

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

Code Description

ICD-10 F12.22 is a billable code used to indicate a diagnosis of cannabis dependence with intoxication.

Key Diagnostic Point:

Cannabis dependence with intoxication refers to a pattern of cannabis use that leads to clinically significant impairment or distress, characterized by a strong desire to consume cannabis, unsuccessful efforts to cut down or control use, and continued use despite negative consequences. Intoxication occurs when an individual experiences the acute effects of cannabis, which may include altered sensory perception, impaired motor coordination, and cognitive dysfunction. The diagnosis requires evidence of tolerance, withdrawal symptoms, or the use of larger amounts over a longer period than intended. This condition can significantly impact an individual's social, occupational, and personal functioning. Treatment typically involves behavioral therapies, counseling, and support groups, with a focus on addressing both the dependence and the acute intoxication symptoms. Understanding the nuances of cannabis dependence is crucial for effective treatment and management, as well as for accurate coding and billing practices.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of cannabis dependence and intoxication.
  • Need for comprehensive documentation of both dependence and intoxication symptoms.
  • Differentiation from other substance use disorders.
  • Potential for co-occurring mental health disorders.

Audit Risk Factors

  • Inadequate documentation of the severity of dependence.
  • Failure to document the specific symptoms of intoxication.
  • Misclassification of cannabis use as casual rather than dependent.
  • Lack of evidence for treatment interventions provided.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, treatment history, and current symptoms.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms, seeking treatment for dependence, or experiencing acute intoxication.

Billing Considerations

Documentation must clearly differentiate between dependence and intoxication for accurate coding.

Psychiatry

Documentation Requirements

Comprehensive mental health evaluations, including assessment of co-occurring disorders.

Common Clinical Scenarios

Patients with cannabis use disorder presenting with anxiety, depression, or psychosis.

Billing Considerations

Consideration of the impact of cannabis on mental health and the need for integrated treatment approaches.

Coding Guidelines

Inclusion Criteria

Use F12.22 When
  • According to ICD
  • 10 guidelines, F12
  • 22 should be used when both cannabis dependence and intoxication are present
  • Coders must ensure that documentation supports the diagnosis and reflects the severity of symptoms

Exclusion Criteria

Do NOT use F12.22 When
  • Exclusion criteria include cases where cannabis use does not meet the threshold for dependence

Related ICD-10 Codes

Related CPT Codes

H0031CPT Code

Mental health assessment

Clinical Scenario

Used during initial evaluation of cannabis dependence.

Documentation Requirements

Comprehensive assessment of mental health status and substance use history.

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 cannabis dependence and intoxication effectively.

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 and intoxication effectively.

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 and intoxication effectively.

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 use?

Cannabis dependence involves a pattern of use that leads to significant impairment or distress, while cannabis use may not meet the criteria for dependence and can occur without negative consequences.