F12.11

F12.11: Cannabis abuse, in remission

Billable / specific codeICD-10-CM

F12.11 is a billable, specific ICD-10-CM code for cannabis abuse, in remission. It is valid for submission on a claim.

Check F12.11 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Cannabis use disorder, mild, in early remission
Cannabis use disorder, mild, in sustained remission

Excludes1 inherited from the categories above F12.11

A category’s note binds every code beneath it.

Written on F12.1: Cannabis abuse

cannabis dependence (F12.2-)
cannabis use, unspecified (F12.9-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

F12.11 is named in 13 Medicare coverage policies: 11 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
A59718Billing and Coding: Opioid Treatment Programsnot covered
A54799Billing and Coding: Urine Drug Testing
A55001Billing and Coding: Urine Drug Testing

Alphabetic index entries that lead here

Abuse›drug NEC›cannabis›in remission(early) (sustained)
Disorder›cannabis use›mild›in remission(early) (sustained)

Code history

Unchanged in every release from FY2024 to FY2027.