516 Substance-Related and Addictive Disorders
effects of cannabis involve the respiratory system, and chronic cannabis smokers exhibit
high rates of respiratory symptoms of bronch itis, sputum production, shortness of breath,
and wheezing.
Cannabis Intoxication
Diagnostic Criteria
A. Recent use of cannabis.
B. Clinically significant problematic behavio ral or psychological changes (e.g., impaired
motor coordination, euphoria, anxiety, sensat ion of slowed time, impaired judgment,
social withdrawal) that developed during, or shortly after, cannabis use.
C. Two (or more) of the following signs or symptoms developing within 2 hours of canna-
bis use:
1. Conjunctival injection.
2. Increased appetite.
3. Dry mouth.
4. Tachycardia.
D. The signs or symptoms are not attributable to another medical condition and are not better
explained by another mental disorder, including intoxication with another substance.
Specify if:
With perceptual disturbances:  Hallucinations with intact reality testing or auditory, vi-
sual, or tactile illusions occur in the absence of a delirium.
Coding note:  The ICD-9-CM code is 292.89.  The ICD-10-CM code depends on whether
or not there is a comorbid cannabis use diso rder and whether or not there are perceptual
disturbances. 
For cannabis intoxication, with out perceptual disturbances: If a mild cannabis use
disorder is comorbid, the ICD-10-CM code is F12.129,  and if a moderate or severe
cannabis use disorder is comorbid, the ICD-10-CM code is F12.229.  If there is no co-