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ICD-10 Guide
ICD-10 CodesF12.129

F12.129

Billable

Cannabis abuse with intoxication, unspecified

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

Code Description

ICD-10 F12.129 is a billable code used to indicate a diagnosis of cannabis abuse with intoxication, unspecified.

Key Diagnostic Point:

Cannabis abuse with intoxication, unspecified (ICD-10 code F12.129) refers to a pattern of cannabis use that leads to significant impairment or distress, characterized by the presence of intoxication symptoms. Intoxication from cannabis can manifest as altered mental status, impaired coordination, and changes in mood or perception. This code is used when the specific details of the intoxication are not further specified, but the clinician recognizes the presence of cannabis abuse. Cannabis abuse is defined as a maladaptive pattern of cannabis use, leading to clinically significant impairment or distress, as evidenced by recurrent use resulting in a failure to fulfill major role obligations, use in hazardous situations, or continued use despite social or interpersonal problems. Treatment for cannabis abuse may include behavioral therapies, counseling, and support groups, with a focus on addressing the underlying issues contributing to substance use. Understanding the nuances of cannabis abuse and intoxication is crucial for accurate coding and effective treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of intoxication symptoms
  • Need for comprehensive documentation of substance use history
  • Differentiation from other substance use disorders
  • Potential for co-occurring mental health conditions

Audit Risk Factors

  • Inadequate documentation of substance use history
  • Failure to specify the severity of intoxication
  • Lack of evidence for treatment interventions
  • Inconsistent coding with clinical notes

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, including frequency and quantity of cannabis use, and any co-occurring disorders.

Common Clinical Scenarios

Patients presenting with acute intoxication symptoms, withdrawal management, or seeking treatment for cannabis use disorder.

Billing Considerations

Consideration of legal implications and patient education regarding cannabis use.

Psychiatry

Documentation Requirements

Comprehensive mental health assessment, including evaluation of mood, cognition, and any co-existing psychiatric conditions.

Common Clinical Scenarios

Patients with cannabis-induced psychosis or anxiety disorders exacerbated by cannabis use.

Billing Considerations

Differentiating between primary psychiatric disorders and those exacerbated by substance use.

Coding Guidelines

Inclusion Criteria

Use F12.129 When
  • According to ICD
  • 10 coding guidelines, F12
  • 129 should be used when the clinician identifies cannabis abuse with intoxication but does not specify the details of the intoxication
  • It is important to document the patient's history and clinical presentation thoroughly

Exclusion Criteria

Do NOT use F12.129 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

Used when counseling patients on cannabis cessation.

Documentation Requirements

Document the counseling session details, including patient responses and follow-up plans.

Specialty Considerations

Addiction specialists may need to provide more extensive documentation.

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 substance use disorders effectively.

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 substance use disorders effectively.

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 substance use disorders effectively.

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 abuse and cannabis dependence?

Cannabis abuse refers to a pattern of use that leads to significant impairment or distress, while cannabis dependence involves a more severe pattern characterized by tolerance, withdrawal symptoms, and compulsive use.