F12.251
BillableCannabis dependence with psychotic disorder with hallucinations
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 hallucinations (seeing or hearing things that aren't real) as a result of their cannabis use.
Coding Tips
- •Specify the type of hallucinations (visual, auditory, tactile, etc.) in the clinical documentation
- •Document the temporal relationship between cannabis use and onset of hallucinations to support cannabis-induced diagnosis
Clinical Significance
Cannabis dependence with psychotic disorder with hallucinations captures a severe presentation where a dependent patient develops persistent hallucinations attributed to cannabis use. This is a high-acuity psychiatric condition requiring intensive treatment. The presence of hallucinations in the context of cannabis dependence may indicate a vulnerability to psychotic disorders and warrants careful psychiatric follow-up and substance use treatment coordination.
Documentation Requirements
- ✓Documentation of cannabis dependence criteria
- ✓Description of specific hallucinations (auditory, visual, tactile, or other modality)
- ✓Statement that hallucinations are induced by cannabis use
- ✓Evidence that hallucinations persist beyond the acute intoxication period
- ✓Mental status examination documenting hallucinatory experiences
- ✓Exclusion of schizophrenia, schizoaffective disorder, and other primary psychotic disorders
Commonly Confused Codes
F12.250 — Cannabis dependence with psychotic disorder with delusions; use when delusions are the primary featureF12.222 — Cannabis dependence with intoxication with perceptual disturbance; use when hallucinations are limited to intoxicationF12.151 — Cannabis abuse with psychotic disorder with hallucinations; use when only abuse is documentedF20.0 — Paranoid schizophrenia; use only for primary psychotic disorder, not substance-induced
Code Hierarchy
└F12Cannabis related disorders└F12.2Cannabis dependence└F12.25Cannabis dependence with psychotic disorder└F12.251Cannabis dependence with psychotic disorder with hallucinations
└F12.251Cannabis dependence with psychotic disorder with hallucinations