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F12.19

F12.19: Cannabis abuse with unspecified cannabis-induced disorder

Billable / specific codeICD-10-CM

F12.19 is a billable, specific ICD-10-CM code for cannabis abuse with unspecified cannabis-induced disorder. It is valid for submission on a claim.

Check F12.19 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above F12.19

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

F12.19 is named in 11 Medicare coverage policies: 9 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
  • A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
  • A56756Billing and Coding: Home Health - Psychiatric Care

Alphabetic index entries that lead here

  • Abuse›drug NEC›cannabis›with›unspecified disorder

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under F12.1

ICD-10-CMFY2027· effective October 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.