What is ICD-10 code F12.188?

F12.188 is the ICD-10-CM diagnosis code for Cannabis abuse with other cannabis-induced disorder. A person who abuses cannabis and has developed other cannabis-related health problems, such as sleep disturbances or anxiety triggered by the drug use. F12.188 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. F12.188 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. F12.188 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. F12.188 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 F12.188 map to under V28?

F12.188 maps to CMS-HCC V28 HCC 137 (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications). The category numbers, labels, and conditions come from the CMS-HCC V28 model file for payment year 2026.

2026 ICD-10-CM F12.188: Cannabis abuse with other

F12.188 maps to CMS-HCC V28 137. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · HCC coding software

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Code lookupF12.188

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)

F12.188

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

Cannabis abuse with other cannabis-induced disorder

A person who abuses cannabis and has developed other cannabis-related health problems, such as sleep disturbances or anxiety triggered by the drug use.

Buddy Insight

Overview Risk Models Code Book Documentation Audit Notes Edition comparison

CMS-HCC V28

Mapped

HCC 137

Drug Use Disorder, Moderate/S...

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 082

HHS-HCC 082 adult, RAF varies...

Code-level coefficient reference

ESRD/PACE

Mapped

HCC 55

Substance Use Disorder/Modera...

Code-level coefficient reference

RXHCC

N/A

—

Not risk-adjusted for this model/period.

Not mapped

Code Book Path

Official

F12.1Cannabis abuse F12.18Cannabis abuse with other cannabis-induced disorder F12.188Cannabis abuse with other cannabis-induced disorder

Inclusion Terms

Official

Cannabis use disorder, mild, with cannabis-induced sleep disorder

Excludes 2

Official

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

Related Codes

Official

F12.180Cannabis abuse with cannabis-induced anxiety disorder

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 F12.188. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F12.188. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F12.188. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance

Documentation of cannabis abuse pattern

Description of the specific cannabis-induced disorder (name the condition)

Clinical evidence linking the disorder to cannabis use

Temporal relationship between cannabis use and the disorder

MEAT Support

HCC Buddy guidance

Documentation of cannabis abuse pattern

Description of the specific cannabis-induced disorder (name the condition)

Clinical evidence linking the disorder to cannabis use

Temporal relationship between cannabis use and the disorder

Audit Caution

HCC Buddy guidance

Using this code when a more specific cannabis-induced disorder code exists (anxiety, psychosis, sleep disorder)

Failing to document the specific nature of the 'other' induced disorder in clinical notes

Confusing this code with F12.19 (unspecified) — this code requires identifying a specific disorder; F12.19 does not

Not establishing the causal link between cannabis use and the disorder

Common Mistakes

HCC Buddy guidance

F12.180 — Cannabis abuse with cannabis-induced anxiety disorder; use when the induced disorder is specifically anxiety

F12.19 — Cannabis abuse with unspecified cannabis-induced disorder; use only when the specific disorder cannot be identified

F12.150-F12.159 — Cannabis abuse with psychotic disorder; use when psychosis is the induced disorder

F12.288 — Cannabis dependence with other cannabis-induced disorder; use when dependence is documented

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 F12.188 an HCC code?

Yes. F12.188 (Cannabis abuse with other cannabis-induced disorder) maps to HCC 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-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: F12.188 is billable and maps to V28 HCC 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code: F12.188
Description: Cannabis abuse with other cannabis-induced disorder
HCC (V28): HCC 137 — Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications
RAF reference coefficient: 0.424
Billable: Yes
Payment year: 2026

HCC Category Mapping

V28HCC 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications

0.424

ESRDHCC 55, Substance Use Disorder/Moderate/Severe/Substance Use with 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 F12.188 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F12.188

For F12.188, 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

F12.188 is the ICD-10-CM diagnosis code for cannabis abuse with other cannabis-induced disorder. A person who abuses cannabis and has developed other cannabis-related health problems, such as sleep disturbances or anxiety triggered by the drug use. F12.188 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, F12.188 maps to Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications (HCC 137) with a source-labeled community, non-dual, aged reference coefficient of 0.424. No V24 mapping is shown for F12.188; 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.

Specify the type of cannabis-induced disorder in the clinical documentation to ensure accurate coding. For F12.188, 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 F12.188 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•Specify the type of cannabis-induced disorder in the clinical documentation to ensure accurate coding
•This code indicates abuse (not dependence) with additional complications beyond intoxication or withdrawal

Clinical Significance

Cannabis abuse with other cannabis-induced disorder captures complications of cannabis abuse that are not specifically categorized elsewhere, such as cannabis hyperemesis syndrome, cannabis-induced depersonalization/derealization, or other specified substance-induced conditions. This code is important for documenting the full spectrum of cannabis-related morbidity and supporting appropriate risk adjustment for patients with complex substance-related complications.

Documentation Requirements

✓Documentation of cannabis abuse pattern
✓Description of the specific cannabis-induced disorder (name the condition)
✓Clinical evidence linking the disorder to cannabis use
✓Temporal relationship between cannabis use and the disorder
✓Exclusion of other potential causes for the disorder
✓Documentation that the disorder does not fit more specific cannabis-induced codes (anxiety, psychosis, sleep disorder)

Commonly Confused Codes

•F12.180: Cannabis abuse with cannabis-induced anxiety disorder; use when the induced disorder is specifically anxiety
•F12.19: Cannabis abuse with unspecified cannabis-induced disorder; use only when the specific disorder cannot be identified
•F12.150-F12.159: Cannabis abuse with psychotic disorder; use when psychosis is the induced disorder
•F12.288: Cannabis dependence with other cannabis-induced disorder; use when dependence is documented