Cannabis use, unspecified with intoxication delirium
ICD-10 F12.921 is a billable code used to indicate a diagnosis of cannabis use, unspecified with intoxication delirium.
Cannabis use disorder is characterized by a problematic pattern of cannabis use leading to clinically significant impairment or distress. The diagnosis of intoxication delirium indicates that the individual is experiencing acute cognitive impairment, altered consciousness, and perceptual disturbances due to recent cannabis use. Symptoms may include confusion, disorientation, anxiety, and hallucinations. The severity of intoxication can vary based on the amount and potency of cannabis consumed, as well as individual tolerance levels. Treatment typically involves supportive care, including monitoring vital signs, ensuring patient safety, and providing a calm environment. In some cases, benzodiazepines may be used to manage severe agitation or anxiety. Long-term management may include counseling and participation in substance use treatment programs to address underlying addiction issues. It is essential for healthcare providers to document the specifics of the cannabis use, including frequency, quantity, and any co-occurring mental health conditions, to ensure accurate coding and appropriate treatment planning.
Detailed assessment of mental status, history of substance use, and any co-occurring psychiatric disorders.
Patients presenting with acute psychosis or severe anxiety following cannabis use.
Consideration of the patient's mental health history and potential for dual diagnosis.
Comprehensive evaluation of vital signs, mental status examination, and substance use history.
Patients presenting to the emergency department with acute agitation or altered mental status after cannabis use.
Rapid assessment and stabilization of the patient are critical, along with clear documentation of interventions.
Used when a patient presents with acute intoxication delirium requiring immediate intervention.
Document the patient's presenting symptoms, assessment findings, and treatment provided.
Emergency medicine providers should ensure thorough documentation of the patient's mental status and any interventions performed.
F12.921 indicates cannabis use with intoxication delirium, requiring documentation of acute cognitive impairment and altered consciousness, while F12.90 is used for unspecified cannabis use without such symptoms.
