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ICD-10 Guide
ICD-10 CodesF12.280

F12.280

Billable

Cannabis dependence with cannabis-induced anxiety disorder

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

Code Description

ICD-10 F12.280 is a billable code used to indicate a diagnosis of cannabis dependence with cannabis-induced anxiety disorder.

Key Diagnostic Point:

Cannabis dependence with cannabis-induced anxiety disorder is characterized by a problematic pattern of cannabis use leading to clinically significant impairment or distress, accompanied by the development of anxiety symptoms directly attributable to cannabis use. Patients may experience heightened anxiety, panic attacks, or exacerbation of pre-existing anxiety disorders when using cannabis. The diagnosis requires evidence of tolerance, withdrawal symptoms, and continued use despite negative consequences. The interplay between cannabis dependence and anxiety can complicate treatment, as individuals may use cannabis to self-medicate anxiety symptoms, leading to a cycle of dependence and worsening anxiety. Effective management often involves a combination of behavioral therapies, psychoeducation, and support groups, alongside potential pharmacotherapy for anxiety symptoms. Clinicians must carefully assess the severity of both cannabis dependence and anxiety to tailor treatment approaches appropriately.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between cannabis-induced anxiety and pre-existing anxiety disorders.
  • Assessing the severity of dependence and its impact on daily functioning.
  • Documenting withdrawal symptoms accurately.
  • Understanding the nuances of cannabis use patterns.

Audit Risk Factors

  • Inadequate documentation of the relationship between cannabis use and anxiety symptoms.
  • Failure to document withdrawal symptoms or treatment plans.
  • Misclassification of anxiety symptoms as primary rather than induced by cannabis.
  • Lack of comprehensive substance use history.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with anxiety symptoms and a history of cannabis use.

Billing Considerations

Consideration of co-occurring mental health disorders and the impact of cannabis on treatment outcomes.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use, including frequency, quantity, and impact on life.

Common Clinical Scenarios

Patients seeking treatment for cannabis dependence with anxiety symptoms.

Billing Considerations

Focus on harm reduction strategies and the role of behavioral therapies.

Coding Guidelines

Inclusion Criteria

Use F12.280 When
  • According to ICD
  • 10 guidelines, F12
  • 280 should be used when there is clear evidence of cannabis dependence alongside anxiety symptoms that are directly induced by cannabis use
  • Documentation must support the diagnosis, including the history of use and the impact on mental health

Exclusion Criteria

Do NOT use F12.280 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 and anxiety symptoms.

Documentation Requirements

Comprehensive assessment of substance use and mental health history.

Specialty Considerations

Psychiatric evaluations should include substance use history.

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 manage cannabis dependence and its associated mental health issues.

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 manage cannabis dependence and its associated mental health issues.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of cannabis-related disorders, improving the ability to track and manage cannabis dependence and its associated mental health issues.

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 cannabis use behaviors, including dependence.