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v1.0.0
ICD-10 Guide
ICD-10 CodesF12.2

F12.2

Billable

Cannabis dependence

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

Code Description

ICD-10 F12.2 is a billable code used to indicate a diagnosis of cannabis dependence.

Key Diagnostic Point:

Cannabis dependence is characterized by a problematic pattern of cannabis use leading to clinically significant impairment or distress. This condition is marked by a strong desire or urge to use cannabis, tolerance to its effects, and withdrawal symptoms when not using. Individuals may continue to use cannabis despite experiencing social, occupational, or interpersonal problems caused or exacerbated by its use. Symptoms of withdrawal can include irritability, insomnia, decreased appetite, and anxiety. The diagnosis is made based on the criteria outlined in the DSM-5, which includes a range of behavioral, psychological, and physiological symptoms. Treatment often involves behavioral therapies, counseling, and support groups, with some patients benefiting from pharmacotherapy to manage withdrawal symptoms. Understanding the nuances of cannabis dependence is crucial for effective treatment and management, as well as for accurate coding and billing practices.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and symptom severity
  • Overlap with other substance use disorders
  • Need for comprehensive documentation to support diagnosis
  • Potential for co-occurring mental health disorders

Audit Risk Factors

  • Inadequate documentation of withdrawal symptoms
  • Failure to document the impact on daily functioning
  • Misclassification of cannabis use as casual rather than dependent
  • Lack of evidence for treatment plans or follow-up

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, treatment history, and psychosocial factors.

Common Clinical Scenarios

Patients seeking help for cannabis use, often with co-occurring mental health issues.

Billing Considerations

Consideration of legal implications and patient education on cannabis use.

Psychiatry

Documentation Requirements

Comprehensive mental health assessment, including mood and anxiety evaluations.

Common Clinical Scenarios

Patients presenting with anxiety or mood disorders exacerbated by cannabis use.

Billing Considerations

Differentiating between primary psychiatric disorders and substance-induced symptoms.

Coding Guidelines

Inclusion Criteria

Use F12.2 When
  • Follow the ICD
  • CM guidelines for substance use disorders, ensuring that documentation supports the diagnosis of dependence rather than casual use
  • Include details on the severity of dependence and any co
  • occurring conditions

Exclusion Criteria

Do NOT use F12.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Behavioral health assessment

Clinical Scenario

Used during initial evaluation of cannabis dependence.

Documentation Requirements

Comprehensive assessment including history and current functioning.

Specialty Considerations

Addiction specialists may require additional details on substance use history.

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 manage cannabis dependence as a distinct condition.

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 manage cannabis dependence as a distinct condition.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of cannabis-related disorders, improving the ability to track and manage cannabis dependence as a distinct condition.

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 dependence and cannabis use disorder?

Cannabis dependence (F12.2) indicates a more severe level of impairment and includes withdrawal symptoms, while cannabis use disorder can range from mild to severe, with F12.2 specifically denoting dependence.