F12.150
BillableCannabis abuse with psychotic disorder with delusions
HCC Category Mapping
V28HCC 135 — Drug/Alcohol Psychosis
0.000V24HCC 54 — Drug/Alcohol Psychosis
0.434ESRDHCC 54 — Drug/Alcohol Psychosis
0.000What This Code Means
A person is abusing cannabis and has developed a psychotic disorder characterized by delusions (false beliefs) caused by the cannabis use.
Coding Tips
- •The psychotic symptoms must be documented as induced by cannabis, not as a primary psychotic disorder
- •Specify whether delusions are persecutory, grandiose, or other types if documented
Clinical Significance
Cannabis abuse with psychotic disorder with delusions indicates that cannabis use has triggered a psychotic disorder featuring false fixed beliefs. This is a serious psychiatric diagnosis indicating that cannabis use is causing significant mental health complications. Cannabis-induced psychosis with delusions carries important prognostic implications as research suggests it may increase the risk of developing primary psychotic disorders like schizophrenia.
Documentation Requirements
- ✓Documentation of cannabis abuse pattern
- ✓Description of specific delusions (persecutory, grandiose, referential, etc.)
- ✓Clear statement that delusions are induced by cannabis use
- ✓Temporal relationship between cannabis use and onset of delusions
- ✓Evidence that delusions persist beyond the period of acute intoxication
- ✓Exclusion of primary psychotic disorders (schizophrenia, schizoaffective disorder)
Commonly Confused Codes
F12.151 — Cannabis abuse with psychotic disorder with hallucinations; use when hallucinations (not delusions) are the primary psychotic featureF12.159 — Cannabis abuse with psychotic disorder, unspecified; use when psychotic features are not specifiedF12.122 — Cannabis abuse with intoxication with perceptual disturbance; use when perceptual changes occur ONLY during intoxicationF22 — Delusional disorders; use for primary delusional disorder not induced by substance use
Code Hierarchy
└F12Cannabis related disorders└F12.1Cannabis abuse└F12.15Cannabis abuse with psychotic disorder└F12.150Cannabis abuse with psychotic disorder with delusions
└F12.150Cannabis abuse with psychotic disorder with delusions