F12.159 — Cannabis abuse with psychotic disorder, unspecified
F12.159 is a billable, specific ICD-10-CM code for cannabis abuse with psychotic disorder, unspecified. It is valid for submission on a claim.
Risk adjustment
F12.159 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 135 Drug Use with Psychotic Complications0.424 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
F12.159 is named in 16 Medicare coverage policies — 13 listing it as supporting medical necessity, and 3 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How F12.159 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F12.159.
- Abuse›drug NEC›cannabis›with›psychosis
- Disorder›cannabis use›mild›with›cannabis-induced›psychotic disorder
Related codes at this level
Codes that share F12.15. If F12.159 is not quite right, the correct code is usually one of these.
Questions about F12.159
- Is F12.159 a billable ICD-10-CM code?
- Yes. F12.159 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F12.159 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental and behavioral disorders due to psychoactive substance use (F10-F19).