F12.151
BillableCannabis abuse with psychotic disorder with hallucinations
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 hallucinations (perceiving things that aren't there) caused by the cannabis use.
Coding Tips
- •The hallucinations must be documented as induced by cannabis use rather than a primary psychotic disorder
- •Specify the type of hallucinations (visual, auditory, tactile) if documented in the medical record
Clinical Significance
Cannabis abuse with psychotic disorder with hallucinations represents cannabis-induced psychosis featuring perceptual experiences of things that are not present, such as auditory or visual hallucinations. This condition goes beyond typical intoxication effects and indicates a serious psychiatric complication. Evidence links cannabis-induced psychosis with hallucinations to an elevated risk of later developing schizophrenia spectrum disorders, making ongoing monitoring essential.
Documentation Requirements
- ✓Documentation of cannabis abuse pattern
- ✓Description of specific hallucinations (auditory, visual, tactile, olfactory)
- ✓Clinical statement that hallucinations are induced by cannabis use
- ✓Evidence that hallucinations persist beyond the acute intoxication period
- ✓Mental status examination documenting the hallucinatory experiences
- ✓Exclusion of primary psychotic disorders and other medical causes of hallucinations
Commonly Confused Codes
F12.150 — Cannabis abuse with psychotic disorder with delusions; use when delusions (not hallucinations) are the primary featureF12.122 — Cannabis abuse with intoxication with perceptual disturbance; use when perceptual changes are limited to the intoxication periodF12.251 — Cannabis dependence with psychotic disorder with hallucinations; use when dependence is documentedF20.x — Schizophrenia; use only for primary psychotic disorders not substance-induced
Code Hierarchy
└F12Cannabis related disorders└F12.1Cannabis abuse└F12.15Cannabis abuse with psychotic disorder└F12.151Cannabis abuse with psychotic disorder with hallucinations
└F12.151Cannabis abuse with psychotic disorder with hallucinations