Name of the Condition

• Common Name: Cannabis Dependence
• Medical Term: Cannabis Dependence, Uncomplicated
• ICD Code: F12.20

Summary

Cannabis dependence refers to a condition where an individual becomes reliant on cannabis to function or feel normal. It is characterized by a persistent craving, increased tolerance, and withdrawal symptoms when not using the substance.

Causes

• Chronic and heavy use of cannabis.
• Psychological factors, including stress and trauma.
• Genetic predisposition can also play a role in developing dependence.

Risk Factors

• Starting cannabis use at a young age.
• Family history of substance abuse disorders.
• Peer pressure or prevalent use in social circles.
• Pre-existing mental health conditions such as anxiety or depression.

Symptoms

• Strong desire to use cannabis despite knowing the negative consequences.
• Unsuccessful attempts to cut down or control use.
• Increased tolerance requiring more cannabis to achieve the same effect.
• Experiencing withdrawal symptoms when attempting to stop.

Diagnosis

• Diagnosis is primarily clinical, based on history and assessment of symptoms.
• Interviews and questionnaires may be used to assess patterns of substance use and its impact on daily life.

Treatment Options

• Behavioral therapies such as cognitive-behavioral therapy (CBT) to address patterns of thinking and behavior.
• Support groups like Narcotics Anonymous can provide peer support.
• In some cases, pharmacotherapy may be considered to manage withdrawal symptoms or co-occurring mental health conditions.

Prognosis and Follow-Up

• With appropriate treatment, individuals can achieve recovery and manage their dependence effectively.
• Regular follow-up is vital to monitor progress and prevent relapse.

Complications

• Continued use may lead to cognitive impairments or respiratory issues.
• Social and occupational impairment, including problems with work, school, or family responsibilities.

Lifestyle & Prevention

• Avoidance of cannabis use, particularly in high-risk situations or at a young age.
• Building a supportive network and engaging in activities that do not involve drug use can help prevent dependence.

When to Seek Professional Help

• If there is an inability to reduce or stop cannabis use despite negative impacts.
• Experiencing withdrawal symptoms or if cannabis use is interfering with daily responsibilities and relationships.

Additional Resources

• Substance Abuse and Mental Health Services Administration (SAMHSA): www.samhsa.gov
• National Institute on Drug Abuse (NIDA): www.drugabuse.gov
• Local Addictions Support Groups

Tips for Medical Coders

• Ensure the documentation specifies “uncomplicated cannabis dependence” to code correctly under F12.20.
• Verify the absence of co-occurring psychiatric disorders which might change the coding.
• Common coding error includes coding for the wrong type of substance-related disorder, so pay close attention to documentation.