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ICD-10 Guide
ICD-10 CodesF12.90

F12.90

Billable

Cannabis use, unspecified, uncomplicated

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

Code Description

ICD-10 F12.90 is a billable code used to indicate a diagnosis of cannabis use, unspecified, uncomplicated.

Key Diagnostic Point:

F12.90 refers to the use of cannabis without any specified complications or associated disorders. This code is utilized when a patient exhibits cannabis use but does not meet the criteria for cannabis use disorder, withdrawal, or intoxication. Cannabis use can lead to various psychological and physiological effects, including altered mood, impaired cognitive function, and potential dependency. However, in this case, the use is classified as uncomplicated, meaning there are no significant adverse effects or complications that require further intervention. Clinicians should document the frequency and context of cannabis use, as well as any relevant psychosocial factors, to provide a comprehensive understanding of the patient's situation. This code is essential for tracking cannabis use trends and understanding its impact on public health, especially as legalization efforts expand in various regions.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Lack of specific diagnostic criteria for uncomplicated use
  • Variability in patient self-reporting of cannabis use
  • Potential overlap with other substance use codes
  • Limited clinical guidelines for uncomplicated cannabis use

Audit Risk Factors

  • Inadequate documentation of cannabis use frequency
  • Failure to differentiate between uncomplicated use and use disorder
  • Misclassification of cannabis use as a disorder
  • Lack of supporting evidence for the diagnosis

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, including frequency and context of cannabis use.

Common Clinical Scenarios

Patients seeking help for substance use, including cannabis, without significant complications.

Billing Considerations

Consideration of co-occurring mental health disorders and the need for a comprehensive treatment plan.

Psychiatry

Documentation Requirements

Assessment of mental health status and any potential impact of cannabis use on psychiatric conditions.

Common Clinical Scenarios

Patients presenting with anxiety or mood disorders who also use cannabis.

Billing Considerations

Understanding the role of cannabis in exacerbating or alleviating psychiatric symptoms.

Coding Guidelines

Inclusion Criteria

Use F12.90 When
  • According to ICD
  • 10 guidelines, F12
  • 90 should be used when cannabis use is documented without complications
  • It is essential to ensure that the diagnosis is supported by clinical documentation and that it does not overlap with other substance use disorders

Exclusion Criteria

Do NOT use F12.90 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

When a patient discusses cannabis use in the context of smoking cessation.

Documentation Requirements

Document the counseling provided and the patient's response.

Specialty Considerations

Addiction specialists may focus on the impact of cannabis on overall health.

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 use in clinical settings.

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 use in clinical settings.

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 use in clinical settings.

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 does F12.90 indicate?

F12.90 indicates cannabis use without complications or associated disorders, meaning the patient uses cannabis but does not exhibit signs of a use disorder.