ICD-10 Coding for Marijuana Use(F12.90, F12.920, F12.93)
Complete ICD-10-CM coding and documentation guide for Marijuana Use. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Marijuana Use
F12.9-F12.99Primary Range
Mental and behavioral disorders due to use of cannabinoids
This range includes codes for various disorders related to cannabis use, including uncomplicated use, intoxication, and withdrawal.
Drug use complicating pregnancy, childbirth, and the puerperium
This range is relevant for documenting cannabis use during pregnancy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F12.90 | Cannabis use, uncomplicated | Use when cannabis use is documented without any complications or disorders. |
|
| F12.920 | Cannabis intoxication | Use when there is documented intoxication with behavioral or physiological changes. |
|
| F12.93 | Cannabis withdrawal | Use when withdrawal symptoms are documented. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for marijuana use
Essential facts and insights about Marijuana Use
Primary ICD-10-CM Codes for marijuana use
Decision Criteria
documentation Criteria
- Documented use without complications.
Applicable To
- Cannabis use without complications
Excludes
- Cannabis use with intoxication
- Cannabis use with withdrawal
Clinical Validation Requirements
- Documented cannabis use without any associated complications or disorders.
Code-Specific Risks
- Risk of coding without documented disorder.
Coding Notes
- Ensure documentation clearly states 'uncomplicated' use.
F12.920 - Cannabis intoxication
Use when there is documented intoxication with behavioral or physiological changes.
Applicable To
- Cannabis intoxication with behavioral changes
Excludes
- Cannabis use without intoxication
Clinical Validation Requirements
- Documented intoxication with symptoms such as euphoria, anxiety, or impaired judgment.
Coding Notes
Ensure documentation specifies intoxication symptoms.
F12.93 - Cannabis withdrawal
Use when withdrawal symptoms are documented.
Applicable To
- Cannabis withdrawal symptoms
Excludes
- Cannabis use without withdrawal
Clinical Validation Requirements
- Documented withdrawal symptoms such as irritability, sleep disturbances, or decreased appetite.
Coding Notes
Ensure documentation includes specific withdrawal symptoms.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Marijuana Use to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F12.90.
Impact
Clinical: Misrepresentation of patient condition., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Verify documentation for disorder criteria., Educate clinicians on proper documentation.
Impact
Reimbursement: Potential denial of claims due to lack of specificity., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate data representation of patient condition.
Mitigation Strategy
Ensure documentation specifies a disorder related to cannabis use.
Impact
Inadequate documentation leading to incorrect coding.
Mitigation Strategy
Ensure thorough documentation of symptoms and impact.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Marijuana Use, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Marijuana Use
Use these documentation templates to ensure complete and accurate documentation for Marijuana Use. These templates include all required elements for proper coding and billing.
Behavioral Health Evaluation
Specialty: PsychiatryRequired Elements
- Patient history
- Cannabis use frequency
- Impact on daily life
- DSM-5 criteria
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Marijuana Use? Ask your questions below.