F12.222
BillableCannabis dependence with intoxication with perceptual disturbance
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 distorted perceptions, such as seeing or hearing things that aren't there.
Coding Tips
- •Document the specific perceptual disturbances (hallucinations, illusions, or depersonalization) when present
- •This code indicates active intoxication with psychotic-like symptoms but without full psychotic disorder criteria
Clinical Significance
Cannabis dependence with intoxication with perceptual disturbance identifies a dependent patient experiencing hallucinations, illusions, or altered perceptual experiences during acute cannabis intoxication. This differs from psychotic disorder in that the patient typically maintains awareness that experiences are drug-related and symptoms resolve when intoxication clears. High-potency cannabis products are increasingly associated with these perceptual disturbances.
Documentation Requirements
- ✓Documentation of cannabis dependence criteria
- ✓Description of specific perceptual disturbances (hallucinations, illusions, depersonalization)
- ✓Temporal link to active cannabis intoxication
- ✓Assessment of reality testing (patient awareness that experiences are drug-related)
- ✓Clear consciousness and orientation (distinguishing from delirium)
- ✓Note on whether these perceptual disturbances are a new or recurring pattern
Commonly Confused Codes
F12.220 — Cannabis dependence with intoxication, uncomplicated; use when no perceptual disturbances occurF12.221 — Cannabis dependence with intoxication delirium; use when confusion and altered consciousness are presentF12.250-F12.251 — Cannabis dependence with psychotic disorder; use when psychosis persists beyond intoxicationF12.122 — Cannabis abuse with intoxication with perceptual disturbance; use when only abuse is documented