ICD-10 F12.988
Billable / Specific HCC v28: 55Cannabis use, unspecified with other cannabis-induced disorder
About ICD-10-CM F12.988
ICD-10-CM code F12.988 represents Cannabis use, unspecified with other cannabis-induced disorder. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F12). The 2026 edition of ICD-10-CM F12.988 became effective on October 1, 2025.
Coding Tips for F12.988
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
F12.988 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.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under F12.988. Per CMS ICD-10-CM Tabular 2026.
- Cannabis induced sleep disorder, without use disorder
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 F12.988
Local Coverage Determinations (LCDs) from CMS MACs that list F12.988 as a covered diagnosis.
Showing top 10 of 244 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F12.988.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with F12.988
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 F12.988 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 |
|---|---|---|
| F12.988 | 29289 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To F12.988
Other codes in section F10-F19 (Mental and behavioral disorders due to psychoactive substance use).
ICD-10 F12.988, Billing FAQ
Is ICD-10 code F12.988 billable? +
Yes, F12.988 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 F12.988? +
ICD-10 F12.988 includes: Cannabis induced sleep disorder, without use disorder.
Does F12.988 affect Medicare Advantage HCC risk adjustment? +
Yes. F12.988 maps to CMS-HCC v28 category 55. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What CPT codes are commonly billed with F12.988? +
Procedures frequently paired with F12.988 include: 83018, 82175, 82108, 84630, 83015.
What ICD-9 codes does F12.988 map to? +
Per CMS GEMs, F12.988 maps to ICD-9 codes: 29289. 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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