Understand Cannabis Use Disorder (CUD), also known as Marijuana Use Disorder, including clinical documentation, diagnosis criteria, and medical coding for Cannabis Dependence and Cannabis Abuse. Learn about healthcare resources and treatment options for patients with CUD. Find information on proper medical coding and billing practices related to a Cannabis Use Disorder diagnosis. This resource helps healthcare professionals accurately document and code CUD in clinical settings.
Also known as
Cannabis-related disorders
Covers cannabis use disorder, dependence, and abuse.
Mental and behavioural disorders due to psychoactive substance use
Encompasses disorders related to various substance use, including cannabis.
Problem related to lifestyle
May be used for problems related to cannabis use affecting lifestyle.
Follow this step-by-step guide to choose the correct ICD-10 code.
Does patient meet DSM-5 criteria for Cannabis Use Disorder?
Yes
Is there cannabis-induced withdrawal?
No
Is there cannabis intoxication?
When to use each related code
| Description |
|---|
| Problematic cannabis use leading to impairment or distress. |
| Cannabis-induced psychosis or anxiety disorder. |
| Cannabis withdrawal syndrome after cessation of heavy use. |
Coding cannabis use as abuse, dependence, or other without specific documentation of criteria can lead to inaccurate severity and reimbursement.
Failing to code co-occurring mental health conditions like anxiety or depression alongside cannabis use disorder can impact treatment and payment.
Insufficient clinical documentation to support the cannabis use disorder diagnosis can trigger denials and compliance issues during audits.
Q: What are the most effective evidence-based interventions for Cannabis Use Disorder in adolescents, considering both individual and family therapy approaches?
A: Effective interventions for adolescent Cannabis Use Disorder (CUD) often involve a combination of individual and family therapy approaches. Motivational Enhancement Therapy (MET) and Cognitive Behavioral Therapy (CBT) have demonstrated efficacy in individual settings, helping adolescents explore their ambivalence towards cannabis use and develop coping mechanisms to manage cravings and triggers. Family-based interventions, such as Multidimensional Family Therapy (MDFT) and Brief Strategic Family Therapy (BSFT), address family dynamics that may contribute to or exacerbate CUD. These therapies focus on improving communication, setting boundaries, and developing positive parenting skills. Consider implementing a combination of these approaches tailored to the individual adolescent's needs and family context. Explore how integrating contingency management, which involves rewarding abstinence with positive reinforcement, can further enhance treatment outcomes. Learn more about specific therapy protocols and adaptations for adolescents with co-occurring mental health conditions.
Q: How can clinicians accurately differentiate between recreational cannabis use, problematic use, and a diagnosable Cannabis Use Disorder (CUD) according to DSM-5 criteria in a primary care setting?
A: Differentiating between recreational cannabis use, problematic use, and CUD requires careful assessment using the DSM-5 criteria. Recreational use typically involves infrequent consumption without significant impairment or negative consequences. Problematic use indicates a pattern of cannabis use that leads to adverse consequences in one or more life domains (e.g., relationships, work, school) despite the absence of a full CUD diagnosis. CUD, however, is diagnosed when an individual exhibits at least two of the eleven DSM-5 criteria within a 12-month period. These criteria include symptoms such as tolerance, withdrawal, craving, using more cannabis than intended, neglecting major roles to use cannabis, and continued use despite social or interpersonal problems. In a primary care setting, clinicians can utilize screening tools like the CUDIT (Cannabis Use Disorders Identification Test) to quickly assess risk and then follow up with a more comprehensive clinical interview to determine the severity and presence of specific DSM-5 criteria. Explore how incorporating validated questionnaires and clinical interviews can improve the accuracy of CUD diagnosis in busy primary care settings.
Patient presents with features consistent with Cannabis Use Disorder (CUD), also known as Marijuana Use Disorder, exhibiting a problematic pattern of cannabis use leading to clinically significant impairment or distress. The patient reports symptoms including increased tolerance, cannabis cravings, withdrawal symptoms such as irritability and insomnia when attempting to cease use, and spending a significant amount of time obtaining, using, or recovering from the effects of cannabis. The patient acknowledges continued cannabis use despite persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of cannabis. Assessment reveals impairment in occupational functioning due to cannabis use. Diagnosis of Cannabis Use Disorder (ICD-10 F12.20, unspecified; F12.21, mild; F12.22, moderate; F12.23, severe) is made based on DSM-5 criteria. Differential diagnoses considered included other substance use disorders and mood disorders. Treatment plan includes motivational interviewing, cognitive behavioral therapy (CBT) for substance abuse, and contingency management. Patient education regarding the risks and consequences of cannabis use, relapse prevention strategies, and community resources for addiction support were provided. Referral to a substance abuse treatment program is recommended. Follow-up scheduled in two weeks to monitor progress and adjust treatment as needed. Patient expressed understanding of the diagnosis and treatment plan.