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

ICD-10 F12.929

Billable / Specific HCC v28: 55

Cannabis use, unspecified with intoxication, unspecified

F12
Block
0
Synonyms
118
LCDs
8
Payer Policies
14
Linked CPTs

About ICD-10-CM F12.929

ICD-10-CM code F12.929 represents Cannabis use, unspecified 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 F12.929 became effective on October 1, 2025.

Coding Tips for F12.929

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

F12.929 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

CMS-HCC v28 (current)
Category 55
ESRD-HCC
Category 55
RxHCC (Part D)
Category 55

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 F12.929

Local Coverage Determinations (LCDs) from CMS MACs that list F12.929 as a covered diagnosis.

118 LCDs

Showing top 10 of 118 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0156 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0299 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0152 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0155 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0300 →
CMS LCD: Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Article ID: 56645, Effective: 2024-10-01 00:00:00, 1310 covered, 1 non-covered
CPT G0480 →
CMS LCD: Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Article ID: 56645, Effective: 2024-10-01 00:00:00, 1310 covered, 1 non-covered
CPT G0481 →
CMS LCD: Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Article ID: 56645, Effective: 2024-10-01 00:00:00, 1310 covered, 1 non-covered
CPT G0482 →
CMS LCD: Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Article ID: 56645, Effective: 2024-10-01 00:00:00, 1310 covered, 1 non-covered
CPT G0483 →
CMS LCD: Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Article ID: 56645, Effective: 2024-10-01 00:00:00, 1310 covered, 1 non-covered
CPT 80305 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F12.929.

8 policies

1 Cigna

Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
Policy ID: MM_0551

5 Medicare

Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Policy ID: ART-56645
Billing and Coding: Home Health - Psychiatric Care
Policy ID: ART-56756
Billing and Coding: Heavy Metal Testing
Policy ID: ART-56767
Billing and Coding: Urine Drug Testing
Policy ID: ART-56818
Billing and Coding: Monitored Anesthesia Care
Policy ID: ART-57361

CPT Codes Commonly Billed with F12.929

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

14 linkages
  • 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 F12.929 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
F12.929 2922 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 F12.929, Billing FAQ

Is ICD-10 code F12.929 billable? +

Yes, F12.929 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Does F12.929 affect Medicare Advantage HCC risk adjustment? +

Yes. F12.929 maps to CMS-HCC v28 category 55. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What CPT codes are commonly billed with F12.929? +

Procedures frequently paired with F12.929 include: 83018, 82175, 82108, 84630, 83015.

What ICD-9 codes does F12.929 map to? +

Per CMS GEMs, F12.929 maps to ICD-9 codes: 2922. 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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