F12.221
BillableCannabis dependence with intoxication delirium
HCC Category Mapping
V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe
0.358V24HCC 55 — Drug/Alcohol Dependence
0.334ESRDHCC 55 — Drug/Alcohol Dependence
0.000What This Code Means
A person dependent on cannabis who is currently intoxicated and experiencing delirium, a state of confusion and disorientation.
Coding Tips
- •Delirium is a serious acute mental state; ensure documentation clearly describes the confusion and disorientation
- •This code indicates active intoxication with severe cognitive symptoms requiring immediate clinical attention
Clinical Significance
Cannabis dependence with intoxication delirium represents a severe acute presentation where a dependent patient develops confusion, disorientation, and altered consciousness during cannabis intoxication. This is a clinical emergency requiring close monitoring. Delirium in the context of cannabis dependence may indicate high-potency cannabis use or concurrent medical conditions that exacerbate intoxication effects. The severity of this presentation drives increased healthcare utilization.
Documentation Requirements
- ✓Documentation of cannabis dependence criteria
- ✓Acute delirium findings: confusion, disorientation, altered consciousness, fluctuating attention
- ✓Temporal relationship to recent cannabis use
- ✓Mental status examination documenting delirium
- ✓Vital signs and monitoring documentation
- ✓Exclusion of other causes of delirium (metabolic, infectious, medication-related)
Commonly Confused Codes
F12.220 — Cannabis dependence with intoxication, uncomplicated; use when no delirium is presentF12.222 — Cannabis dependence with intoxication with perceptual disturbance; use when perceptual changes occur without full deliriumF12.250-F12.259 — Cannabis dependence with psychotic disorder; use when psychosis persists beyond intoxicationF05 — Delirium due to known physiological condition; use when delirium is not substance-induced
Code Hierarchy
└F12Cannabis related disorders└F12.2Cannabis dependence└F12.22Cannabis dependence with intoxication└F12.221Cannabis dependence with intoxication delirium
└F12.221Cannabis dependence with intoxication delirium