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ICD-10 Guide
ICD-10 CodesF12.980

F12.980

Billable

Cannabis use, unspecified with anxiety disorder

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

Code Description

ICD-10 F12.980 is a billable code used to indicate a diagnosis of cannabis use, unspecified with anxiety disorder.

Key Diagnostic Point:

Cannabis use disorder is characterized by a problematic pattern of cannabis use leading to clinically significant impairment or distress. When cannabis use is accompanied by anxiety disorder, it complicates the clinical picture, as the individual may use cannabis to self-medicate anxiety symptoms. This dual diagnosis can lead to a cycle of increased anxiety and reliance on cannabis, creating a complex interplay between substance use and mental health. Symptoms of anxiety may include excessive worry, restlessness, fatigue, difficulty concentrating, and sleep disturbances. Treatment often requires a multidisciplinary approach, including psychotherapy, medication management, and substance use counseling. Clinicians must carefully assess the severity of both the cannabis use and anxiety disorder to develop an effective treatment plan. The unspecified nature of this code indicates that the specific type or severity of cannabis use disorder has not been detailed, which may necessitate further evaluation and documentation to guide treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of cannabis use severity
  • Need for differentiation between primary anxiety disorder and substance-induced anxiety
  • Potential for co-occurring mental health disorders
  • Variability in treatment approaches based on individual patient needs

Audit Risk Factors

  • Inadequate documentation of cannabis use severity
  • Failure to document the relationship between cannabis use and anxiety symptoms
  • Lack of comprehensive treatment plans
  • Inconsistent coding of co-occurring disorders

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed history of substance use, mental health history, and treatment plans.

Common Clinical Scenarios

Patients presenting with anxiety symptoms who report cannabis use as a coping mechanism.

Billing Considerations

Consideration of the impact of cannabis on anxiety symptoms and the need for integrated treatment approaches.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use history and mental health status.

Common Clinical Scenarios

Patients in recovery programs who experience anxiety and have a history of cannabis use.

Billing Considerations

Focus on harm reduction strategies and the potential for relapse.

Coding Guidelines

Inclusion Criteria

Use F12.980 When
  • According to ICD
  • 10 guidelines, this code should be used when cannabis use is present but not specified as mild, moderate, or severe
  • Documentation must support the diagnosis of both cannabis use disorder and anxiety disorder

Exclusion Criteria

Do NOT use F12.980 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0031CPT Code

Mental health assessment

Clinical Scenario

Used when assessing a patient with cannabis use and anxiety.

Documentation Requirements

Document the assessment findings and treatment recommendations.

Specialty Considerations

Psychiatrists may require additional documentation on mental health history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of cannabis use disorders, which can improve treatment planning and outcomes. It also emphasizes the need for comprehensive documentation of co-occurring mental health conditions.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of cannabis use disorders, which can improve treatment planning and outcomes. It also emphasizes the need for comprehensive documentation of co-occurring mental health conditions.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of cannabis use disorders, which can improve treatment planning and outcomes. It also emphasizes the need for comprehensive documentation of co-occurring mental health conditions.

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 significance of the 'unspecified' designation in F12.980?

The 'unspecified' designation indicates that the specific type or severity of cannabis use disorder has not been documented. This may limit treatment options and necessitate further evaluation.