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ICD-10 Guide
ICD-10 CodesF12.28

F12.28

Billable

Cannabis dependence with other cannabis-induced disorder

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

Code Description

ICD-10 F12.28 is a billable code used to indicate a diagnosis of cannabis dependence with other cannabis-induced disorder.

Key Diagnostic Point:

Cannabis dependence with other cannabis-induced disorder refers to a condition where an individual exhibits a pattern of cannabis use that leads to significant impairment or distress, characterized by a strong desire to consume cannabis, difficulties in controlling its use, and the development of tolerance and withdrawal symptoms. This code is used when the dependence is accompanied by other cannabis-induced disorders, such as anxiety, mood disturbances, or psychotic symptoms. The clinical presentation may include withdrawal symptoms like irritability, insomnia, decreased appetite, and mood swings when cannabis use is reduced or stopped. Treatment often involves behavioral therapies, counseling, and support groups, with a focus on addressing both the dependence and any co-occurring mental health disorders. Understanding the interplay between cannabis use and other psychological conditions is crucial for effective management and recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between cannabis dependence and other cannabis-induced disorders.
  • Identifying the severity of dependence and associated symptoms.
  • Documenting co-occurring mental health conditions accurately.
  • Understanding the nuances of withdrawal symptoms versus intoxication effects.

Audit Risk Factors

  • Inadequate documentation of the severity of cannabis dependence.
  • Failure to document co-occurring disorders.
  • Misclassification of withdrawal symptoms as other conditions.
  • Insufficient evidence of treatment plans and follow-up.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including substance use history and mental health evaluations.

Common Clinical Scenarios

Patients presenting with anxiety or mood disorders exacerbated by cannabis use.

Billing Considerations

Accurate documentation of both cannabis use and mental health symptoms is essential for proper coding.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use patterns and treatment history.

Common Clinical Scenarios

Patients undergoing detoxification or rehabilitation for cannabis dependence.

Billing Considerations

Focus on the interplay between cannabis use and other substance use disorders.

Coding Guidelines

Inclusion Criteria

Use F12.28 When
  • According to ICD
  • 10 guidelines, F12
  • 28 should be used when cannabis dependence is present alongside other cannabis
  • induced disorders
  • Documentation must clearly indicate the relationship between the dependence and the additional disorder

Exclusion Criteria

Do NOT use F12.28 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0020CPT Code

Behavioral health counseling

Clinical Scenario

Used in conjunction with F12.28 for treatment planning.

Documentation Requirements

Document the nature of counseling and patient progress.

Specialty Considerations

Psychiatry and addiction medicine should ensure comprehensive treatment documentation.

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. F12.28 provides a clear framework for documenting cannabis dependence alongside other disorders.

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. F12.28 provides a clear framework for documenting cannabis dependence alongside other disorders.

Reimbursement & Billing Impact

reimbursement and compliance.

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 refers specifically to the physiological and psychological reliance on cannabis, while cannabis use disorder encompasses a broader range of issues related to cannabis use, including social and legal problems.