ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 F12.11

Billable / Specific

Cannabis abuse, in remission

F12
Block
2
Synonyms
237
LCDs
11
Payer Policies
67
Linked CPTs

About ICD-10-CM F12.11

ICD-10-CM code F12.11 represents Cannabis abuse, in remission. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F12). The 2026 edition of ICD-10-CM F12.11 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under F12.11. Per CMS ICD-10-CM Tabular 2026.

  • Cannabis use disorder, mild, in early remission
  • Cannabis use disorder, mild, in sustained remission

Medicare LCD Coverage for F12.11

Local Coverage Determinations (LCDs) from CMS MACs that list F12.11 as a covered diagnosis.

237 LCDs

Showing top 10 of 237 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0480 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0481 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0482 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0483 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80305 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0659 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80307 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80306 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 55001, Effective: 2026-01-01 00:00:00, 388 covered, 0 non-covered
CPT G0480 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 55001, Effective: 2026-01-01 00:00:00, 388 covered, 0 non-covered
CPT G0481 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F12.11.

11 policies

5 Medicare

Billing and Coding: Urine Drug Testing
Policy ID: ART-54799
Billing and Coding: Urine Drug Testing
Policy ID: ART-55001
Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Policy ID: ART-56645
Billing and Coding: Urine Drug Testing
Policy ID: ART-56818
Billing and Coding: Urine Drug Testing
Policy ID: ART-56915

CPT Codes Commonly Billed with F12.11

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

67 linkages
  • G0480 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 80306 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • G0482 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 0603U CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 80305 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • G0659 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • G0483 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 80307 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • G0481 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 80323 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD

ICD-10 F12.11, Billing FAQ

Is ICD-10 code F12.11 billable? +

Yes, F12.11 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to F12.11? +

ICD-10 F12.11 includes: Cannabis use disorder, mild, in early remission; Cannabis use disorder, mild, in sustained remission.

What CPT codes are commonly billed with F12.11? +

Procedures frequently paired with F12.11 include: G0480, 80306, G0482, 0603U, 80305.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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