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F12.90
ICD-10-CM
Marijuana Use

Find information on marijuana use diagnosis, including clinical documentation, medical coding (ICD-10 codes F12.10 - F12.92, DSM-5 criteria), screening tools, and treatment options. Learn about cannabis use disorder, cannabis-induced disorders, and the impact on health for healthcare professionals. Explore resources for accurate diagnosis and appropriate care related to marijuana use, cannabis dependence, and withdrawal symptoms.

Also known as

Cannabis Use
Marijuana Consumption
Cannabis Consumption

Diagnosis Snapshot

Key Facts
  • Definition : Marijuana use involves consuming cannabis products, leading to various physical and mental effects.
  • Clinical Signs : Red eyes, increased appetite, impaired coordination, altered perception, anxiety, or paranoia.
  • Common Settings : Outpatient clinics, addiction treatment centers, primary care, or emergency rooms.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC F12.90 Coding
F12

Cannabis-related disorders

Covers various cannabis use disorders, including dependence and harmful use.

Z72

Persons encountering health services

May include encounters for counseling or treatment related to cannabis use.

T40.7X5A

Poisoning by, adverse effect of and underdosing of cannabinoids

Specific code for adverse effects or poisoning related to cannabis use.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is marijuana use causing problems?

  • Yes

    Is there withdrawal?

  • No

    Code Z72.891, Problem related to use of cannabis

Code Comparison

Related Codes Comparison

When to use each related code

Description
Marijuana dependence
Marijuana withdrawal
Cannabis-induced anxiety disorder

Documentation Best Practices

Documentation Checklist
  • Marijuana use frequency, amount, method
  • Onset, duration, pattern of marijuana use
  • Symptoms impact on daily life function
  • Withdrawal symptoms if use ceased
  • Prior treatment, current interventions

Coding and Audit Risks

Common Risks
  • Unspecified Use Status

    Coding marijuana use without specifying current, in remission, or on maintenance therapy risks inaccurate severity and payment.

  • Comorbidity Overlap

    Failing to capture co-occurring mental health or substance use disorders with marijuana use impacts quality reporting and resource allocation.

  • Documentation Clarity

    Vague documentation lacking specific details about the marijuana use (frequency, amount, method) leads to coding errors and audit vulnerability.

Mitigation Tips

Best Practices
  • Document frequency, amount, & method of use.
  • Distinguish between medical vs. non-medical use.
  • Clearly link marijuana use to presenting symptoms.
  • Adhere to ICD-10-CM coding guidelines for substance use.
  • Ensure compliant documentation for accurate reimbursement.

Clinical Decision Support

Checklist
  • Screen for frequency, quantity, duration of use.
  • Document route of administration (smoked, edible, etc.).
  • Assess for signs/symptoms: red eyes, increased appetite, tachycardia.
  • ICD-10-CM coding: F12.1x, F12.2x, F12.9x (specify details).
  • Consider patient safety: driving impairment, mental health screening.

Reimbursement and Quality Metrics

Impact Summary
  • Marijuana Use: Coding accuracy impacts reimbursement for substance use disorder services.
  • Marijuana Use: Diagnosis coding affects quality metrics for addiction treatment programs.
  • Marijuana Use: Accurate reporting is crucial for public health data and resource allocation.
  • Marijuana Use: Proper coding impacts hospital revenue cycle management and denials.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code F12 for cannabis use
  • Specify use type, frequency
  • Document DSM-5 criteria
  • Check payer guidelines
  • Query physician if unclear

Documentation Templates

Patient presents with symptoms consistent with a diagnosis of Cannabis Use Disorder (CUD), also referred to as marijuana use disorder, cannabis dependence, or marijuana abuse.  The patient reports regular cannabis use, meeting DSM-5 criteria for problematic pattern of cannabis use leading to clinically significant impairment or distress.  Symptoms endorsed include craving cannabis, increased tolerance to cannabis, spending a significant amount of time obtaining, using, or recovering from cannabis use, and continued use despite negative social or occupational consequences.  Physical examination revealed mild conjunctival injection and increased appetite.  Patient denies withdrawal symptoms such as irritability, anxiety, sleep disturbance, decreased appetite, or restlessness upon cessation of use.  Differential diagnoses considered include other substance use disorders, mood disorders, and anxiety disorders.  Assessment for comorbid mental health conditions is recommended.  Treatment plan includes motivational interviewing, cognitive behavioral therapy (CBT) for substance use, and referral to support groups for cannabis cessation.  Patient education provided on the risks associated with continued cannabis use including potential respiratory issues, cognitive impairment, and mental health implications.  Follow-up scheduled to monitor progress and adjust treatment plan as needed.  ICD-10 code F12.20, Cannabis use disorder, unspecified is assigned.  Medical billing codes will reflect the services provided, such as psychotherapy for substance use disorder.  Patient was advised to abstain from cannabis use and provided with resources for community support.