F12.950
BillableCannabis use, unspecified 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 who uses cannabis without dependence and experiences psychotic symptoms including delusions (false beliefs) caused by the cannabis use.
Coding Tips
- •Document that delusions are present and related to cannabis use; distinguish from other causes of psychosis
- •Verify that psychotic symptoms persist beyond the period of acute intoxication to confirm cannabis-induced psychotic disorder
Clinical Significance
Cannabis use, unspecified with psychotic disorder with delusions identifies a patient with cannabis-induced psychosis featuring delusions when the severity of the use disorder is not documented. Cannabis-induced psychosis with delusions is a serious psychiatric condition that significantly increases healthcare utilization and carries prognostic significance for potential development of primary psychotic disorders. Despite the unspecified use pattern, this code captures the critical psychotic complication.
Documentation Requirements
- ✓Documentation of cannabis use
- ✓Description of specific delusions (persecutory, grandiose, referential, etc.)
- ✓Clinical statement that psychotic disorder is induced by cannabis
- ✓Evidence that delusions persist beyond acute intoxication
- ✓Mental status examination documenting delusional thinking
- ✓Exclusion of primary psychotic disorders
Commonly Confused Codes
F12.150 — Cannabis abuse with psychotic disorder with delusions; use when abuse is documentedF12.250 — Cannabis dependence with psychotic disorder with delusions; use when dependence is documentedF12.951 — Cannabis use, unspecified with psychotic disorder with hallucinations; use when hallucinations are the primary featureF22 — Delusional disorder; use for primary delusional disorder not substance-induced
Code Hierarchy
└F12Cannabis related disorders└F12.9Cannabis use, unspecified└F12.95Cannabis use, unspecified with psychotic disorder└F12.950Cannabis use, unspecified with psychotic disorder with delusions
└F12.950Cannabis use, unspecified with psychotic disorder with delusions