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F12.122

Billable

Cannabis abuse with intoxication with perceptual disturbance

HCC Category Mapping

V24HCC 55 — Drug/Alcohol Dependence
0.334
ESRDHCC 55 — Drug/Alcohol Dependence
0.000

What This Code Means

A person is abusing cannabis and is experiencing perceptual disturbances (such as seeing or hearing things that aren't there) while intoxicated.

Coding Tips

  • •Perceptual disturbances must be documented as occurring during cannabis intoxication, not as a separate psychotic disorder
  • •Distinguish this from F12.150-F12.159 which indicate cannabis-induced psychotic disorder rather than intoxication-related perceptual changes

Clinical Significance

Cannabis abuse with intoxication with perceptual disturbance identifies patients experiencing hallucinations, illusions, or depersonalization during acute cannabis intoxication. This is distinct from cannabis-induced psychotic disorder in that the perceptual disturbances occur only during intoxication and the patient maintains awareness that the experiences are substance-related. Documenting perceptual disturbances is clinically important for monitoring progression to more severe psychiatric complications.

Documentation Requirements

  • ✓Documentation of cannabis abuse pattern
  • ✓Description of specific perceptual disturbances (visual hallucinations, auditory distortions, depersonalization, derealization)
  • ✓Temporal link confirming disturbances occur during active cannabis intoxication
  • ✓Confirmation that the patient maintains reality testing (distinguishing from psychotic disorder)
  • ✓Intact consciousness and orientation (distinguishing from delirium)

Commonly Confused Codes

F12.120 — Cannabis abuse with intoxication, uncomplicated; use when no perceptual disturbances are presentF12.121 — Cannabis abuse with intoxication delirium; use when confusion and altered consciousness occurF12.150 — Cannabis abuse with psychotic disorder with delusions; use when psychosis persists beyond intoxication and delusions are presentF12.151 — Cannabis abuse with psychotic disorder with hallucinations; use when hallucinations persist beyond intoxication period

Code Hierarchy

└F12Cannabis related disorders└F12.1Cannabis abuse└F12.12Cannabis abuse with intoxication└F12.122Cannabis abuse with intoxication with perceptual disturbance
└F12.122Cannabis abuse with intoxication with perceptual disturbance

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