F12.11 ICD-10-CM Code: Cannabis abuse, in remission
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)
F12.11
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceCannabis abuse, in remission
A person previously abused cannabis but is now in remission, meaning they have stopped or significantly reduced their cannabis use.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
Basket needed
Code Book Path
Inclusion Terms
Official- Cannabis use disorder, mild, in early remission
- Cannabis use disorder, mild, in sustained remission
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for F12.11 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for F12.11 in this effective period.
Excludes 1
Official- cannabis dependence (F12.2-)
- cannabis use, unspecified (F12.9-)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for F12.11 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for F12.11 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for F12.11 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is F12.11 an HCC code?
No. F12.11 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
F12.11 is the ICD-10-CM diagnosis code for cannabis abuse, in remission. A person previously abused cannabis but is now in remission, meaning they have stopped or significantly reduced their cannabis use. F12.11 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental and behavioral disorders due to psychoactive substance use (f10-f19).
F12.11 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
This code is appropriate when the patient has achieved sustained abstinence or controlled use after a period of abuse.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F12.11 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code is appropriate when the patient has achieved sustained abstinence or controlled use after a period of abuse
- •Document the length of remission if available, as this may be relevant for treatment planning and prognosis