F12.121: Cannabis abuse with intoxication delirium

Risk adjustment

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

Medicare coverage

F12.121 is named in 19 Medicare coverage policies: 16 listing it as supporting medical necessity, and 3 listing it as NOT covered. Which one applies depends on your Medicare contractor.

• A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
• A56562Billing and Coding: Health and Behavior Assessment/Interventionnot covered
• A59718Billing and Coding: Opioid Treatment Programsnot covered
• A56614Billing and Coding: Psychiatric Inpatient Hospitalization