ICD-10 Code for Opioid use, unspecified, uncomplicated- F11. 90- Codify by AAPC.
305.90 - Other, mixed, or unspecified drug abuse, unspecified | ICD-10-CM.
Convert to ICD-10-CM: 304.00 converts approximately to: 2015/16 ICD-10-CM F11. 20 Opioid dependence, uncomplicated.
Diagnosing drug addiction (substance use disorder) requires a thorough evaluation and often includes an assessment by a psychiatrist, a psychologist, or a licensed alcohol and drug counselor. Blood, urine or other lab tests are used to assess drug use, but they're not a diagnostic test for addiction.
One important update involves the diagnostic codes for substance use disorders. The ICD-10-CM diagnostic codes recommended by DSM-5 are F1x. 10 for the diagnosis of mild substance use disorder, and F1x.
Table 4ICD-9-CM and ICD-10-CM diagnosis codes defining opioid use disorder (OUD)Diagnosis codeDescriptionICD-9-CM diagnosis codesOpioid useF11.90Opioid use, unspecified, uncomplicatedF11.920Opioid use, unspecified with intoxication, uncomplicated138 more rows
ICD-10 code Z51. 81 for Encounter for therapeutic drug level monitoring is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10-CM Code for Opioid related disorders F11.
ICD-10 code F10. 2 for Alcohol dependence is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .
ICD-10 Code for Opioid abuse, uncomplicated- F11. 10- Codify by AAPC.
Code F41. 9 is the diagnosis code used for Anxiety Disorder, Unspecified. It is a category of psychiatric disorders which are characterized by anxious feelings or fear often accompanied by physical symptoms associated with anxiety.
When a patient is receiving prophylactic prescription maintenance for a condition using an opioid it should be documented and coded with Z79.891 Long term (current) use of opiate analgesic. Do not use this code for patients who have addiction or are seeking treatment for addiction. The Chapter 21 Guidelines state: “This subcategory is not for use of medications for detoxification or maintenance programs to prevent withdrawal symptoms in patients with drug dependence (e.g., methadone maintenance for opiate dependence). Assign the appropriate code for the drug dependence instead.”
The codes for opioid related disorders are found in Chapter 5 under category F11. The term “use” in Chapter 5 can mean non-prescription (recreational) use or any use not documented as abuse or dependence. The distinction between use, abuse and dependence is based on clinical evaluation and documentation. As per the ICD-10-CM guidelines for coding substances use, abuse and dependence, “only one code should be assigned to identify the pattern of use based on the following hierarchy: 1 If both use and abuse are documented, assign only the code for abuse 2 If both abuse and dependence are documented, assign only the code for dependence 3 If use, abuse and dependence are all documented, assign only the code for dependence 4 If both use and dependence are documented, assign only the code for dependence.”
A patient with a history of opioid abuse or dependence should be coded with the appropriate remission code (F11.11 Opioid abuse, in remission or F11.21 Opioid dependence, ...
The term “use” in Chapter 5 can mean non-prescription (recreational) use or any use not documented as abuse or dependence. The distinction between use, abuse and dependence is based on clinical evaluation and documentation. As per the ICD-10-CM guidelines for coding substances use, abuse and dependence, “only one code should be assigned ...
Tolerance for opioids. Withdrawal symptoms when opioids are not taken. In ICD-10-CM, opioid use, abuse, and dependence are coded to category F11.
Per the Diagnostic and Statistical Manual of Mental Disorders (DSM–5): The diagnosis of Opioid Use Disorder can be applied to someone who has a problematic pattern of opioid use leading to clinically significant impairment or distress, ...
Because provider documentation is not always detailed enough to support proper code assignment, a query may be needed when coding opioid use disorders, to attain any missing pertinent information.
Opioid abuse, addiction, and overdoses are a serious public health problem. According to the National Institute on Drug Abuse, more than 115 people in the United States die after overdosing on opioids, every day.
Taking more opioid drugs than intended. Wanting or trying to control opioid drug use without success. Spending a lot of time obtaining, taking, or recovering from the effects of opioid drugs. Cravings opioids. Failing to carry out important roles at home, work or school because of opioid use.
The Centers for Disease Control and Prevention estimates that the “economic burden” of prescription opioid misuse (including the costs of healthcare, lost productivity, addiction treatment, and criminal justice involvement) in the United States equals $78.5 billion a year. Opioid use, opioid abuse, and opioid dependence are grouped together as ...
Failing to carry out important roles at home, work or school because of opioid use. Continuing to use opioids, despite use of the drug causing relationship or social problems. Giving up or reducing other activities because of opioid use. Using opioids even when it is physically unsafe.
Opioid abuse with withdrawal 1 F11.13 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 ICD-10-CM F11.13 is a new 2021 ICD-10-CM code that became effective on October 1, 2020. 3 This is the American ICD-10-CM version of F11.13 - other international versions of ICD-10 F11.13 may differ.
The 2022 edition of ICD-10-CM F11.13 became effective on October 1, 2021.
Drug abuse counseling and surveillance 1 Z71.5 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM Z71.5 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z71.5 - other international versions of ICD-10 Z71.5 may differ.
The 2022 edition of ICD-10-CM Z71.5 became effective on October 1, 2021.
Z71- Persons encountering health services for other counseling and medical advice , not elsewhere classified