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ICD-10 Guide
ICD-10 CodesF12.23

F12.23

Billable

Cannabis dependence with withdrawal

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

Code Description

ICD-10 F12.23 is a billable code used to indicate a diagnosis of cannabis dependence with withdrawal.

Key Diagnostic Point:

Cannabis dependence with withdrawal is characterized by a problematic pattern of cannabis use leading to clinically significant impairment or distress, as evidenced by the presence of withdrawal symptoms upon cessation or reduction of cannabis use. Symptoms may include irritability, insomnia, decreased appetite, anxiety, and physical discomfort. The diagnosis is made when the individual experiences at least three of these symptoms within a specified timeframe after stopping or reducing cannabis use. This condition is part of the broader category of substance use disorders, which encompass a range of behavioral and physiological symptoms associated with the use of psychoactive substances. Treatment often involves behavioral therapies, counseling, and support groups, with a focus on managing withdrawal symptoms and preventing relapse. Understanding the nuances of cannabis dependence is crucial for effective treatment and accurate coding, as it reflects the evolving landscape of substance use and public health responses.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in withdrawal symptoms among individuals
  • 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 withdrawal symptoms
  • Failure to document the severity of dependence
  • Misclassification of cannabis use disorder severity
  • Lack of evidence for treatment interventions

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, withdrawal symptoms, and treatment response.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms after cessation of cannabis use.

Billing Considerations

Consideration of co-occurring mental health disorders and comprehensive treatment plans.

Psychiatry

Documentation Requirements

Thorough psychiatric evaluation, including mental status examination and history of substance use.

Common Clinical Scenarios

Patients with anxiety or mood disorders exacerbated by cannabis withdrawal.

Billing Considerations

Assessment of the impact of cannabis on existing psychiatric conditions.

Coding Guidelines

Inclusion Criteria

Use F12.23 When
  • According to ICD
  • 10 guidelines, F12
  • 23 should be used when there is clear documentation of cannabis dependence accompanied by withdrawal symptoms
  • It is essential to differentiate this from uncomplicated cannabis dependence (F12
  • 20) and to document the severity and duration of symptoms

Exclusion Criteria

Do NOT use F12.23 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Assessment of substance use disorder

Clinical Scenario

Used during initial evaluation of cannabis dependence with withdrawal.

Documentation Requirements

Comprehensive assessment including history and withdrawal symptoms.

Specialty Considerations

Addiction specialists should ensure thorough documentation of all assessment components.

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 associated withdrawal symptoms 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 associated withdrawal symptoms 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 associated withdrawal symptoms 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 are the key symptoms of cannabis withdrawal?

Key symptoms of cannabis withdrawal include irritability, insomnia, decreased appetite, anxiety, and physical discomfort. These symptoms typically emerge within 1-3 days after cessation and can last for up to two weeks.