What is ICD-10 code F12.150?

F12.150 is the ICD-10-CM diagnosis code for Cannabis abuse with psychotic disorder with delusions. A person is abusing cannabis and has developed a psychotic disorder characterized by delusions (false beliefs) caused by the cannabis use. F12.150 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. F12.150 is part of the FY2026 ICD-10-CM code set published by the CMS National Center for Health Statistics and used on Medicare, Medicaid, and commercial claims in the United States.

Yes. F12.150 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. F12.150 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Which HCC does F12.150 map to under V28?

F12.150 maps to CMS-HCC V28 HCC 135 (Drug Use with Psychotic Complications). The category numbers, labels, and conditions come from the CMS-HCC V28 model file for payment year 2026.

2026 ICD-10-CM F12.150: Cannabis abuse

F12.150 maps to CMS-HCC V28 135. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · free HCC coding tools

ICD-10-CM Code View

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Code lookupF12.150

Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)

F12.150

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Cannabis abuse with psychotic disorder with delusions

A person is abusing cannabis and has developed a psychotic disorder characterized by delusions (false beliefs) caused by the cannabis use.

Buddy Insight

Cannabis abuse with psychotic disorder with delusions indicates that cannabis use has triggered a psychotic disorder featuring false fixed beliefs.

Overview Risk Models Code Book Documentation Audit Notes Edition comparison

CMS-HCC V28

Mapped

HCC 135

Drug Use with Psychotic Compl...

Code-level coefficient reference

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

Mapped

HCC 081

HHS-HCC 081 adult, RAF varies...

Code-level coefficient reference

ESRD/PACE

Mapped

HCC 54

Substance Use with Psychotic ...

Code-level coefficient reference

RXHCC

N/A

—

Not risk-adjusted for this model/period.

Not mapped

Code Book Path

Official

F12.1Cannabis abuse F12.15Cannabis abuse with psychotic disorder F12.150Cannabis abuse with psychotic disorder with delusions

Inclusion Terms

Official

No inclusion terms are included in this display for F12.150. Check the code and parent instructions in the Code Book.

Excludes 2

Official

symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99

Related Codes

Official

F12.151Cannabis abuse with psychotic disorder with hallucinations F12.159Cannabis abuse with psychotic disorder, unspecified

Includes

Official

disorders of psychological developmentInherited from F01-F99, F12
marijuanaInherited from F01-F99, F12

Excludes 1

Official

cannabis dependence (F12.2-)Inherited from F12.1
cannabis use, unspecified (F12.9-)Inherited from F12.1

Code First

Official

No Code First sequencing instructions are included in this display for F12.150. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F12.150. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F12.150. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance

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

MEAT Support

HCC Buddy guidance

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

Audit Caution

HCC Buddy guidance

Failing to distinguish between transient intoxication-related perceptual disturbances and true substance-induced psychotic disorder

Coding a primary psychotic disorder (schizophrenia) when symptoms are clearly linked to cannabis use

Using the unspecified psychotic disorder code (F12.159) when delusions are specifically documented

Not documenting that symptoms persist beyond the immediate intoxication period

Common Mistakes

HCC Buddy guidance

F12.151 — Cannabis abuse with psychotic disorder with hallucinations; use when hallucinations (not delusions) are the primary psychotic feature

F12.159 — Cannabis abuse with psychotic disorder, unspecified; use when psychotic features are not specified

F12.122 — Cannabis abuse with intoxication with perceptual disturbance; use when perceptual changes occur ONLY during intoxication

F22 — Delusional disorders; use for primary delusional disorder not induced by substance use

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is F12.150 an HCC code?

Yes. F12.150 (Cannabis abuse with psychotic disorder with delusions) maps to HCC 135, Drug Use with Psychotic Complications under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.424. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: F12.150 is billable and maps to V28 HCC 135, Drug Use with Psychotic Complications. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code: F12.150
Description: Cannabis abuse with psychotic disorder with delusions
HCC (V28): HCC 135 — Drug Use with Psychotic Complications
RAF reference coefficient: 0.424
Billable: Yes
Payment year: 2026

HCC Category Mapping

V28HCC 135, Drug Use with Psychotic Complications

0.424

ESRDHCC 54, Substance Use with Psychotic Complications

Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work F12.150 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F12.150

For F12.150, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
EEvaluate: test results, medication response, or physical findings reviewed by the provider
AAssess: explicit mention in the assessment or plan with acknowledgment of status
TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Coder workflow notes

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What This Code Means

F12.150 is the ICD-10-CM diagnosis code for cannabis abuse with psychotic disorder with delusions. A person is abusing cannabis and has developed a psychotic disorder characterized by delusions (false beliefs) caused by the cannabis use. F12.150 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).

Under the CMS-HCC V28 risk adjustment model, F12.150 maps to Drug Use with Psychotic Complications (HCC 135) with a source-labeled community, non-dual, aged reference coefficient of 0.424. No V24 mapping is shown for F12.150; use the applicable model and payment year when reviewing the V28 mapping. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

The psychotic symptoms must be documented as induced by cannabis, not as a primary psychotic disorder. For F12.150, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F12.150 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

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 feature
•F12.159: Cannabis abuse with psychotic disorder, unspecified; use when psychotic features are not specified
•F12.122: Cannabis abuse with intoxication with perceptual disturbance; use when perceptual changes occur ONLY during intoxication
•F22: Delusional disorders; use for primary delusional disorder not induced by substance use