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F12.188

F12.188Cannabis abuse with other cannabis-induced disorder

Billable / specific codeICD-10-CM

F12.188 is a billable, specific ICD-10-CM code for cannabis abuse with other cannabis-induced disorder. It is valid for submission on a claim.

Inclusion terms

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

  • Cannabis use disorder, mild, with cannabis-induced sleep disorder

Excludes1 inherited from the categories above F12.188

These are not written on F12.188, but they bind it: a note on a category applies to every code beneath it. Billing F12.188 with anything listed here is a denial.

Written on F12.1 Cannabis abuse

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

Risk adjustment

F12.188 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

  • HCC 137 Drug Use Disorder, Moderate/Severe, or Drug Use with Non-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

F12.188 is named in 18 Medicare coverage policies 16 listing it as supporting medical necessity, and 2 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
  • A59718Billing and Coding: Opioid Treatment Programsnot covered
  • A56614Billing and Coding: Psychiatric Inpatient Hospitalization
  • A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing

How F12.188 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 F12.188.

  • Abusedrug NECcannabiswithother specified disorder
  • Disordercannabis usemildwithcannabis-inducedsleep disorder

Code history

F12.188 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share F12.18. If F12.188 is not quite right, the correct code is usually one of these.

Questions about F12.188

Is F12.188 a billable ICD-10-CM code?
Yes. F12.188 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does F12.188 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).
What cannot be coded together with F12.188?
F12.188 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above F12.188 (F12.1) and apply to it just the same.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.