F12.222 — Cannabis dependence with intoxication with perceptual disturbance
F12.222 is a billable, specific ICD-10-CM code for cannabis dependence with intoxication with perceptual disturbance. It is valid for submission on a claim.
Excludes1 inherited from the categories above F12.222
These are not written on F12.222, but they bind it: a note on a category applies to every code beneath it. Billing F12.222 with anything listed here is a denial.
Excludes2 inherited from the categories above F12.222
Also inherited, and the opposite of Excludes1: these conditions are not part of F12.222, but a patient can have both, so you may code both.
Risk adjustment
F12.222 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
F12.222 is named in 21 Medicare coverage policies — 18 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 F12.222 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 F12.222.
- Disturbance›perceptual due to›cannabis intoxication›in›dependence
- Disorder›cannabis use›moderate or severe›with›cannabis intoxication›with perceptual disturbances
- Dependence›drug NEC›cannabis›with›intoxication›with›perceptual disturbance
Code history
F12.222 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 F12.22. If F12.222 is not quite right, the correct code is usually one of these.
Questions about F12.222
- Is F12.222 a billable ICD-10-CM code?
- Yes. F12.222 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F12.222 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 F12.222?
- F12.222 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 F12.222 (F12.2) and apply to it just the same.