ICD-10 F12.229
Billable / Specific HCC v28: 55Cannabis dependence with intoxication, unspecified
About ICD-10-CM F12.229
ICD-10-CM code F12.229 represents Cannabis dependence with intoxication, unspecified. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F12). The 2026 edition of ICD-10-CM F12.229 became effective on October 1, 2025.
Coding Tips for F12.229
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
F12.229 is a CMS-HCC v28 risk-adjustment code (category 55). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for F12.229
Local Coverage Determinations (LCDs) from CMS MACs that list F12.229 as a covered diagnosis.
Showing top 10 of 166 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F12.229.
5 Medicare
CPT Codes Commonly Billed with F12.229
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 83018 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 82175 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 82108 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 84630 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 83015 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 84285 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 82495 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 82300 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 83655 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 83785 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
Convert F12.229 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| F12.229 | 2922 | 10111 |
| F12.229 | 30430 | 10112 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To F12.229
Other codes in section F10-F19 (Mental and behavioral disorders due to psychoactive substance use).
ICD-10 F12.229, Billing FAQ
Is ICD-10 code F12.229 billable? +
Yes, F12.229 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Does F12.229 affect Medicare Advantage HCC risk adjustment? +
Yes. F12.229 maps to CMS-HCC v28 category 55. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What CPT codes are commonly billed with F12.229? +
Procedures frequently paired with F12.229 include: 83018, 82175, 82108, 84630, 83015.
What ICD-9 codes does F12.229 map to? +
Per CMS GEMs, F12.229 maps to ICD-9 codes: 2922, 30430. Useful for legacy data review and historical claim analysis.
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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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