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ICD-10 Guide
ICD-10 CodesF12.229

F12.229

Billable

Cannabis dependence with intoxication, unspecified

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

Code Description

ICD-10 F12.229 is a billable code used to indicate a diagnosis of cannabis dependence with intoxication, unspecified.

Key Diagnostic Point:

Cannabis dependence with intoxication, unspecified, refers to a condition characterized by a compulsive pattern of cannabis use despite adverse consequences, accompanied by the presence of intoxication symptoms. Intoxication can manifest as altered mental status, impaired coordination, and changes in mood or perception. This diagnosis is applicable when the individual exhibits a significant level of dependence on cannabis, which may include tolerance, withdrawal symptoms, and a persistent desire to use cannabis. The unspecified aspect indicates that the specific details of the intoxication or the severity of dependence are not clearly defined. Clinically, this condition can lead to various psychosocial issues, including impaired functioning in social, occupational, or other important areas. Treatment often involves behavioral therapies, counseling, and support groups, with a focus on addressing both the dependence and the associated intoxication effects. Understanding the nuances of this diagnosis is crucial for effective treatment planning and accurate coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of cannabis dependence and intoxication.
  • Need for comprehensive documentation to support the diagnosis.
  • Differentiation from other substance use disorders.
  • Potential for co-occurring mental health conditions.

Audit Risk Factors

  • Inadequate documentation of intoxication symptoms.
  • Failure to document the severity of dependence.
  • Lack of evidence for treatment interventions.
  • Misclassification of cannabis use disorder severity.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, assessment of dependence severity, and treatment plan.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms, seeking treatment for cannabis use, or experiencing co-occurring disorders.

Billing Considerations

Consideration of legal implications and patient confidentiality in documentation.

Psychiatry

Documentation Requirements

Comprehensive mental health evaluation, including assessment of mood and cognitive function.

Common Clinical Scenarios

Patients with cannabis-induced psychosis or anxiety disorders.

Billing Considerations

Differentiating between primary psychiatric disorders and substance-induced conditions.

Coding Guidelines

Inclusion Criteria

Use F12.229 When
  • Follow ICD
  • CM guidelines for substance use disorders, ensuring accurate documentation of dependence and intoxication
  • Include details on the impact of cannabis use on daily functioning and any co
  • occurring conditions

Exclusion Criteria

Do NOT use F12.229 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Behavioral health assessment

Clinical Scenario

Used for initial evaluation of cannabis dependence.

Documentation Requirements

Comprehensive assessment of substance use history and current functioning.

Specialty Considerations

Ensure alignment with addiction medicine protocols.

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. F12.229 provides a clear framework for documenting cannabis dependence with intoxication, enhancing clinical understanding 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 these conditions effectively. F12.229 provides a clear framework for documenting cannabis dependence with intoxication, enhancing clinical understanding 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 these conditions effectively. F12.229 provides a clear framework for documenting cannabis dependence with intoxication, enhancing clinical understanding and treatment planning.

Resources

Clinical References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)
  • •
    National Institute on Drug Abuse (NIDA)

Coding & Billing References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)
  • •
    National Institute on Drug Abuse (NIDA)

Frequently Asked Questions

What is the difference between cannabis dependence and cannabis use disorder?

Cannabis dependence is a specific diagnosis that indicates a compulsive pattern of use, while cannabis use disorder is a broader term that encompasses various levels of severity, including dependence.

When should I use F12.229 instead of F12.20?

Use F12.229 when the patient exhibits both dependence and intoxication symptoms, indicating a more complex clinical picture.