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ICD-10 Guide
ICD-10 CodesF12.98

F12.98

Billable

Cannabis use, unspecified with other cannabis-induced disorder

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

Code Description

ICD-10 F12.98 is a billable code used to indicate a diagnosis of cannabis use, unspecified with other cannabis-induced disorder.

Key Diagnostic Point:

F12.98 refers to a diagnosis of cannabis use disorder that is unspecified and is accompanied by other cannabis-induced disorders. This code is utilized when a patient exhibits problematic patterns of cannabis use that lead to clinically significant impairment or distress, but the specific nature of the cannabis-induced disorder is not clearly defined. Cannabis use disorder can manifest in various ways, including addiction, withdrawal symptoms, and intoxication. Patients may experience cravings, tolerance, and withdrawal symptoms such as irritability, insomnia, and decreased appetite when not using cannabis. The diagnosis may also encompass other cannabis-induced conditions, such as anxiety, mood disorders, or psychotic disorders, which can complicate the clinical picture. Treatment often involves behavioral therapies, counseling, and support groups, with a focus on addressing both the substance use and any co-occurring mental health issues. Accurate coding is essential for effective treatment planning and insurance reimbursement, making it crucial for coders to understand the nuances of cannabis-related disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptoms and severity of cannabis-induced disorders
  • Need for comprehensive patient history to determine the extent of use
  • Potential overlap with other substance use disorders
  • Documentation of co-occurring mental health conditions

Audit Risk Factors

  • Inadequate documentation of cannabis use history
  • Failure to specify the cannabis-induced disorder
  • Lack of evidence for treatment provided
  • Inconsistent coding with clinical notes

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 exacerbated by cannabis use.

Billing Considerations

Consideration of co-occurring mental health disorders is crucial for accurate coding.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use, including frequency, duration, and impact on daily functioning.

Common Clinical Scenarios

Patients seeking treatment for cannabis use disorder with withdrawal symptoms.

Billing Considerations

Documentation should reflect the treatment plan and any behavioral therapies employed.

Coding Guidelines

Inclusion Criteria

Use F12.98 When
  • According to ICD
  • 10 guidelines, F12
  • 98 should be used when cannabis use is present without a specified cannabis
  • induced disorder
  • Coders must ensure that documentation supports the diagnosis and reflects the complexity of the patient's condition

Exclusion Criteria

Do NOT use F12.98 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Behavioral health assessment

Clinical Scenario

Used when assessing a patient for cannabis use disorder.

Documentation Requirements

Complete assessment notes detailing substance use history and mental health status.

Specialty Considerations

Psychiatrists should ensure comprehensive evaluations are documented.

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. F12.98 provides a framework for capturing the nuances of cannabis use and its associated 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. F12.98 provides a framework for capturing the nuances of cannabis use and its associated disorders.

Reimbursement & Billing Impact

impact on their daily life, and any treatment provided. Insurance companies may require evidence of a treatment plan that addresses both the substance use and any co-occurring disorders.

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 F12.98 and F12.10?

F12.98 is used for unspecified cannabis use with other cannabis-induced disorders, while F12.10 is for uncomplicated cannabis dependence. The former indicates additional complexities in the patient's condition.