Cannabis dependence with psychotic disorder with delusions
ICD-10 F12.250 is a billable code used to indicate a diagnosis of cannabis dependence with psychotic disorder with delusions.
Cannabis dependence with psychotic disorder with delusions is characterized by a pattern of cannabis use that leads to clinically significant impairment or distress, accompanied by the presence of psychotic symptoms, specifically delusions. Patients may exhibit a strong craving for cannabis, tolerance to its effects, and withdrawal symptoms when not using the substance. The psychotic disorder manifests as delusions, which are fixed false beliefs that are resistant to reason or confrontation with actual fact. These delusions can significantly impair the individual's ability to function socially, occupationally, or in other important areas of life. The condition often requires a comprehensive treatment approach, including psychotherapy, medication management, and support groups, to address both the substance dependence and the underlying psychotic symptoms. Clinicians must carefully assess the severity of the dependence and the nature of the psychotic symptoms to develop an effective treatment plan that addresses both aspects of the disorder.
Detailed psychiatric evaluation, including history of substance use and mental health symptoms.
Patients presenting with acute psychosis following cannabis use, chronic cannabis users developing delusions.
Careful monitoring of medication interactions and side effects, especially with antipsychotics.
Comprehensive substance use history, including patterns of use and withdrawal symptoms.
Patients in withdrawal experiencing psychotic symptoms, those in recovery with relapse episodes.
Integration of behavioral therapies and support systems in treatment plans.
Used for follow-up visits to manage cannabis dependence and psychotic symptoms.
Document history, examination findings, and treatment plan.
Psychiatric evaluations may require additional documentation of mental status.
F12.250 includes the presence of delusions as part of the psychotic disorder, while F12.249 does not specify delusions, indicating a broader range of psychotic symptoms.
