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ICD-10 Guide
ICD-10 CodesF12.920

F12.920

Billable

Cannabis use, unspecified with intoxication, uncomplicated

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

Code Description

ICD-10 F12.920 is a billable code used to indicate a diagnosis of cannabis use, unspecified with intoxication, uncomplicated.

Key Diagnostic Point:

F12.920 refers to a diagnosis of cannabis use disorder characterized by the use of cannabis leading to intoxication without any accompanying complications. This condition is marked by the consumption of cannabis in a manner that results in significant impairment or distress, but does not involve severe withdrawal symptoms or other medical complications. Symptoms of intoxication may include altered perception, impaired coordination, and cognitive dysfunction. The diagnosis is often made in the context of a clinical evaluation where the patient's history of cannabis use is assessed, including frequency, quantity, and the impact on daily functioning. Treatment may involve counseling, behavioral therapies, and support groups, focusing on reducing use and addressing underlying issues related to substance use. It is essential for healthcare providers to document the specifics of the patient's cannabis use, including any co-occurring mental health disorders, to ensure accurate coding and appropriate treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and symptoms
  • Need for comprehensive patient history
  • Differentiation from other substance use disorders
  • Documentation of intoxication symptoms

Audit Risk Factors

  • Inadequate documentation of cannabis use history
  • Failure to specify the level of intoxication
  • Misclassification of complications
  • Lack of evidence for treatment provided

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with anxiety or mood disorders alongside cannabis use.

Billing Considerations

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

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use, including frequency and context of cannabis use.

Common Clinical Scenarios

Patients seeking help for cannabis dependence or related issues.

Billing Considerations

Focus on treatment plans that address both cannabis use and any underlying psychological issues.

Coding Guidelines

Inclusion Criteria

Use F12.920 When
  • According to ICD
  • 10 coding guidelines, F12
  • 920 should be used when a patient presents with cannabis use leading to uncomplicated intoxication
  • It is important to document the absence of complications and to differentiate from other substance use disorders
  • The code should not be used if the patient exhibits withdrawal symptoms or other complications

Exclusion Criteria

Do NOT use F12.920 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Assessment of substance use disorder

Clinical Scenario

Used when assessing a patient for cannabis use disorder.

Documentation Requirements

Document the assessment findings and treatment recommendations.

Specialty Considerations

Psychiatry and addiction medicine specialists should ensure comprehensive evaluations.

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 use disorders effectively. F12.920 provides a clear distinction for uncomplicated intoxication, facilitating better treatment planning and resource allocation.

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 use disorders effectively. F12.920 provides a clear distinction for uncomplicated intoxication, facilitating better treatment planning and resource allocation.

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 use disorders effectively. F12.920 provides a clear distinction for uncomplicated intoxication, facilitating better treatment planning 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 is the difference between F12.920 and F12.921?

F12.920 is used for uncomplicated cannabis intoxication, while F12.921 is for cases with complications such as severe withdrawal or additional medical issues.