F12.280
BillableCannabis dependence with cannabis-induced anxiety disorder
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 who is dependent on cannabis and experiences anxiety disorder as a direct result of their cannabis use.
Coding Tips
- •This code requires documentation of both cannabis dependence AND cannabis-induced anxiety; do not use if anxiety exists independently
- •Verify in the clinical record that the anxiety disorder is temporally related to cannabis use and not a pre-existing condition
Clinical Significance
Cannabis dependence with cannabis-induced anxiety disorder captures a patient who meets criteria for cannabis dependence and has developed a clinically significant anxiety disorder as a direct result of cannabis use. This combination reflects dual psychiatric morbidity and often complicates treatment because the anxiety may both drive and result from continued cannabis use. Appropriate documentation supports both clinical care and accurate risk stratification.
Documentation Requirements
- ✓Documentation of cannabis dependence criteria
- ✓Specific anxiety symptoms (generalized anxiety, panic attacks, social anxiety, etc.)
- ✓Clinical statement that anxiety disorder is induced by cannabis use
- ✓Temporal relationship between cannabis use and anxiety
- ✓Exclusion of primary anxiety disorders that exist independently of cannabis use
- ✓Assessment of the interplay between dependence and anxiety in the treatment plan
Commonly Confused Codes
F12.180 — Cannabis abuse with cannabis-induced anxiety disorder; use when only abuse is documentedF12.980 — Cannabis use, unspecified with anxiety disorder; use when severity of use disorder is unspecifiedF41.1 — Generalized anxiety disorder; use for primary anxiety not substance-inducedF12.20 — Cannabis dependence, uncomplicated; use when no anxiety disorder is present
Code Hierarchy
└F12Cannabis related disorders└F12.2Cannabis dependence└F12.28Cannabis dependence with other cannabis-induced disorder└F12.280Cannabis dependence with cannabis-induced anxiety disorder
└F12.280Cannabis dependence with cannabis-induced anxiety disorder