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ICD-10 Guide
ICD-10 CodesF12.91

F12.91

Billable

Cannabis use, unspecified, in remission

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

Code Description

ICD-10 F12.91 is a billable code used to indicate a diagnosis of cannabis use, unspecified, in remission.

Key Diagnostic Point:

F12.91 refers to a diagnosis of cannabis use disorder that is currently in remission. This condition is characterized by a problematic pattern of cannabis use leading to clinically significant impairment or distress, but the individual is not currently experiencing symptoms of use or withdrawal. Remission indicates that the individual has not met the criteria for cannabis use disorder for a specified period, typically at least three months. The diagnosis may apply to individuals who have previously exhibited symptoms such as cravings, tolerance, or withdrawal but have since ceased use or significantly reduced their consumption. Treatment for cannabis use disorder often involves behavioral therapies, counseling, and support groups, focusing on helping individuals develop coping strategies and maintain their remission status. It is essential for healthcare providers to document the duration of remission and any previous treatment interventions to ensure accurate coding and appropriate care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the duration of remission accurately.
  • Differentiating between current use and remission status.
  • Understanding the nuances of cannabis use disorder criteria.
  • Documenting previous treatment history and outcomes.

Audit Risk Factors

  • Inadequate documentation of remission duration.
  • Failure to specify previous treatment interventions.
  • Misclassification of active use versus remission.
  • Lack of follow-up documentation.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, treatment interventions, and current status.

Common Clinical Scenarios

Patients transitioning from active use to remission, relapse prevention strategies.

Billing Considerations

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

Psychiatry

Documentation Requirements

Comprehensive mental health evaluation, including substance use history.

Common Clinical Scenarios

Patients with a history of cannabis use disorder seeking mental health treatment.

Billing Considerations

Assessment of underlying psychological conditions that may influence substance use.

Coding Guidelines

Inclusion Criteria

Use F12.91 When
  • According to ICD
  • 10 guidelines, F12
  • 91 should be used when a patient has a history of cannabis use disorder but is currently in remission
  • Documentation must reflect the absence of symptoms and the duration of remission
  • It is crucial to differentiate this code from active use codes

Exclusion Criteria

Do NOT use F12.91 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Behavioral health assessment

Clinical Scenario

Used when assessing a patient in remission for cannabis use disorder.

Documentation Requirements

Detailed assessment of substance use history and current status.

Specialty Considerations

Addiction specialists should focus on recovery strategies.

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, including the ability to denote remission status. This specificity aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cannabis-related disorders, including the ability to denote remission status. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of cannabis-related disorders, including the ability to denote remission status. This specificity aids in better tracking of treatment outcomes and resource allocation.

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 does 'in remission' mean in the context of cannabis use?

In remission indicates that the individual has not met the criteria for cannabis use disorder for a specified period, typically at least three months, and is not currently experiencing symptoms related to cannabis use.