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ICD-10 Guide
ICD-10 CodesF12.220

F12.220

Billable

Cannabis dependence with intoxication, uncomplicated

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

Code Description

ICD-10 F12.220 is a billable code used to indicate a diagnosis of cannabis dependence with intoxication, uncomplicated.

Key Diagnostic Point:

Cannabis dependence with intoxication, uncomplicated, refers to a condition where an individual exhibits a pattern of cannabis use leading to clinically significant impairment or distress, characterized by a strong desire to consume cannabis, tolerance, and withdrawal symptoms. This diagnosis is specifically for cases where the individual is currently experiencing intoxication but does not have any complicating factors such as co-occurring mental health disorders or severe withdrawal symptoms. Intoxication may present with symptoms such as altered mental status, impaired coordination, and increased appetite. Treatment typically involves behavioral therapies, counseling, and support groups, focusing on reducing cannabis use and managing cravings. It is essential for healthcare providers to assess the severity of dependence and the impact on the patient's daily functioning to tailor an appropriate treatment plan.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between dependence and casual use
  • Identifying the presence of intoxication versus withdrawal
  • Documenting the severity of symptoms accurately
  • Understanding the impact of co-occurring disorders

Audit Risk Factors

  • Inadequate documentation of intoxication symptoms
  • Failure to document the impact on daily functioning
  • Misclassification of dependence severity
  • Lack of evidence for treatment interventions

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use history, current symptoms, and treatment plan.

Common Clinical Scenarios

Patients presenting with cannabis use disorder seeking treatment for dependence.

Billing Considerations

Consideration of co-occurring mental health disorders and their impact on treatment.

Psychiatry

Documentation Requirements

Detailed mental health evaluation, including assessment of mood, anxiety, and psychotic symptoms.

Common Clinical Scenarios

Patients with cannabis dependence presenting with anxiety or mood disorders.

Billing Considerations

Differentiating between symptoms of cannabis intoxication and underlying psychiatric conditions.

Coding Guidelines

Inclusion Criteria

Use F12.220 When
  • According to ICD
  • 10 coding guidelines, F12
  • 220 should be used when the patient meets the criteria for cannabis dependence and is currently experiencing uncomplicated intoxication
  • Documentation must support the diagnosis and include details about the patient's history and current symptoms

Exclusion Criteria

Do NOT use F12.220 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Assessment and treatment planning

Clinical Scenario

Used during initial evaluation of cannabis dependence.

Documentation Requirements

Detailed assessment of substance use history and current symptoms.

Specialty Considerations

Addiction specialists should ensure comprehensive evaluations are performed.

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 its complications 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 its complications 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 its complications 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 disorder?

Cannabis dependence is a specific diagnosis that indicates a reliance on cannabis, while cannabis use disorder encompasses a broader range of problematic use patterns, including dependence.