Cannabis dependence with intoxication delirium
ICD-10 F12.221 is a billable code used to indicate a diagnosis of cannabis dependence with intoxication delirium.
Cannabis dependence with intoxication delirium is characterized by a pattern of cannabis use leading to clinically significant impairment or distress, accompanied by acute confusion, disorientation, and altered consciousness due to recent cannabis use. Individuals may exhibit symptoms such as hallucinations, agitation, and cognitive disturbances, which can significantly impair their ability to function in daily life. The diagnosis requires evidence of cannabis dependence, which may include tolerance, withdrawal symptoms, and a persistent desire to use cannabis despite negative consequences. The delirium aspect indicates that the individual is experiencing an acute episode of confusion and cognitive dysfunction, often requiring immediate medical attention. Treatment typically involves supportive care, monitoring, and possibly pharmacological interventions to manage symptoms. Long-term management may include behavioral therapies and substance use disorder treatment programs aimed at reducing dependence and preventing relapse.
Detailed patient history, including substance use patterns and mental health history.
Patients presenting with acute confusion and a known history of cannabis use.
Consideration of co-occurring mental health disorders and their impact on treatment.
Comprehensive assessment of substance use, including frequency, quantity, and impact on life.
Patients in withdrawal or experiencing acute intoxication symptoms.
Integration of behavioral health interventions with pharmacotherapy.
Used for follow-up visits after initial assessment of cannabis dependence.
Document history, examination findings, and treatment plan.
Psychiatric evaluations may require additional documentation.
Key symptoms include confusion, disorientation, hallucinations, and cognitive impairment, often occurring after heavy cannabis use.
