F12.180

Billable

Cannabis abuse with cannabis-induced anxiety disorder

HCC Category Mapping

V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe

0.358

V24HCC 55 — Drug/Alcohol Dependence

0.334

ESRDHCC 55 — Drug/Alcohol Dependence

0.000

What This Code Means

A person is abusing cannabis and has developed an anxiety disorder that is directly caused by their cannabis use.

Coding Tips

•The anxiety must be documented as induced by cannabis, not as a primary anxiety disorder
•Ensure the anxiety symptoms are temporally related to cannabis use and not better explained by another condition

Clinical Significance

Cannabis abuse with cannabis-induced anxiety disorder captures a common psychiatric complication where cannabis use directly causes clinically significant anxiety. Cannabis-induced anxiety is one of the most frequently reported adverse effects and may present as generalized anxiety, panic attacks, or social anxiety symptoms. This diagnosis is important because it indicates that cannabis use is causing measurable psychiatric morbidity beyond the substance use disorder itself.

Documentation Requirements

✓Documentation of cannabis abuse (maladaptive use pattern)
✓Specific anxiety symptoms documented (generalized anxiety, panic attacks, social anxiety, etc.)
✓Clinical statement that anxiety is induced by cannabis use, not a pre-existing independent condition
✓Temporal relationship between cannabis use and anxiety symptoms
✓Exclusion of primary anxiety disorders unrelated to substance use

Commonly Confused Codes

F41.1 — Generalized anxiety disorder; use for primary anxiety not related to substance use F41.0 — Panic disorder; use for primary panic disorder not substance-induced F12.280 — Cannabis dependence with cannabis-induced anxiety disorder; use when dependence is documented F12.980 — Cannabis use, unspecified with anxiety disorder; use when severity of use disorder is unspecified

Code Hierarchy

└F12.180Cannabis abuse with cannabis-induced anxiety disorder