F12.250
BillableCannabis dependence with psychotic disorder with delusions
HCC Category Mapping
V28HCC 135 — Drug/Alcohol Psychosis
0.000V24HCC 54 — Drug/Alcohol Psychosis
0.434ESRDHCC 54 — Drug/Alcohol Psychosis
0.000What This Code Means
A person dependent on cannabis who has developed a psychotic disorder with delusions (false beliefs) as a result of their cannabis use.
Coding Tips
- •Ensure documentation distinguishes between cannabis-induced psychosis and primary psychotic disorders
- •Document the specific delusions and their temporal relationship to cannabis use
Clinical Significance
Cannabis dependence with psychotic disorder with delusions is a severe psychiatric diagnosis indicating that cannabis dependence has led to a persistent psychotic state featuring false fixed beliefs. This is among the most serious cannabis-related psychiatric complications and carries significant prognostic implications. Research shows cannabis-induced psychosis with delusions in dependent patients has a higher rate of conversion to primary psychotic disorders such as schizophrenia.
Documentation Requirements
- ✓Documentation of cannabis dependence criteria
- ✓Description of specific delusions (type, content, severity)
- ✓Clinical statement that psychotic disorder is induced by cannabis
- ✓Evidence that delusions persist beyond acute intoxication
- ✓Mental status examination documenting psychotic features
- ✓Exclusion of primary psychotic disorders (schizophrenia, delusional disorder)
- ✓Treatment plan addressing both dependence and psychosis
Commonly Confused Codes
F12.251 — Cannabis dependence with psychotic disorder with hallucinations; use when hallucinations are the primary featureF12.259 — Cannabis dependence with psychotic disorder, unspecified; use when specific psychotic features are not documentedF12.150 — Cannabis abuse with psychotic disorder with delusions; use when only abuse is documentedF22 — Delusional disorder; use for primary delusional disorder not induced by substances
Code Hierarchy
└F12Cannabis related disorders└F12.2Cannabis dependence└F12.25Cannabis dependence with psychotic disorder└F12.250Cannabis dependence with psychotic disorder with delusions
└F12.250Cannabis dependence with psychotic disorder with delusions