Cannabis abuse with intoxication with perceptual disturbance

This code signifies a pattern of problematic cannabis use leading to clinically significant impairment or distress, specifically when the individual is currently experiencing the acute effects of cannabis intoxication, which includes perceptual disturbances such as illusions, hallucinations, or depersonalization/derealization. It indicates a current substance use disorder involving cannabis, complicated by acute intoxication with altered perception.

Apply this code when documentation clearly states a diagnosis of cannabis abuse and the patient presents with symptoms of acute cannabis intoxication, specifically noting perceptual disturbances. This typically occurs in emergency department settings, psychiatric evaluations, or substance abuse treatment centers where the patient is actively under the influence and experiencing these specific perceptual alterations.

• Ensure documentation explicitly states "abuse" (not dependence) and "intoxication with perceptual disturbance."
• Distinguish from cannabis dependence or intoxication without perceptual disturbances; these require different codes.
• Sequence this code as a primary diagnosis when it is the reason for the encounter, or as a secondary diagnosis if it's a co-occurring condition impacting treatment.