F12.159

Billable

Cannabis abuse with psychotic disorder, unspecified

HCC Category Mapping

V28HCC 135 — Drug/Alcohol Psychosis

0.000

V24HCC 54 — Drug/Alcohol Psychosis

0.434

ESRDHCC 54 — Drug/Alcohol Psychosis

0.000

What This Code Means

A person is abusing cannabis and has developed a psychotic disorder caused by cannabis, but the specific type of psychotic symptoms is not specified.

Coding Tips

•Use this code only when psychotic disorder is documented but the specific features (delusions vs. hallucinations) are not clearly documented
•Query the provider for clarification on the type of psychotic symptoms to assign a more specific code if possible

Clinical Significance

Cannabis abuse with unspecified psychotic disorder is used when cannabis-induced psychosis is documented but the specific type of psychotic symptoms — whether delusions or hallucinations — is not specified. This code still captures the clinical severity of substance-induced psychosis but represents a documentation opportunity. Providers should be queried to determine the specific psychotic features for more precise coding.

Documentation Requirements

✓Documentation of cannabis abuse
✓Statement that psychotic disorder is present and induced by cannabis
✓Any available description of psychotic symptoms
✓Temporal relationship between cannabis use and psychotic symptoms
✓Evidence that provider was queried regarding specific psychotic features

Commonly Confused Codes

F12.150 — Cannabis abuse with psychotic disorder with delusions; use when delusions are specified F12.151 — Cannabis abuse with psychotic disorder with hallucinations; use when hallucinations are specified F12.122 — Cannabis abuse with intoxication with perceptual disturbance; use for intoxication-limited perceptual symptoms F12.259 — Cannabis dependence with psychotic disorder, unspecified; use when dependence is documented

Code Hierarchy

└F12.159Cannabis abuse with psychotic disorder, unspecified