F19. 11 - Other psychoactive substance abuse, in remission. ICD-10-CM.
Opioid abuse with intoxication, unspecified F11. 129 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM F11. 129 became effective on October 1, 2021.
ICD-10-CM Diagnosis Code Z79 Z79.
891.
ICD-10 code F11. 90 for Opioid use, unspecified, uncomplicated is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .
While addiction is classified as a disease, dependence is a state of being physically dependent on a certain substance. Addiction is rooted in your brain, but dependence occurs when your body as a whole becomes used to the effects of a drug and goes into withdrawal if you stop using that substance.
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.
Whereas mild substance use disorder continues to be F1x. 10, moderate substance use disorder continues to be F1x. 20, and severe substance use disorder continues to be F1x. 20, mild substance use disorder in remission is now coded as F1x.
In sustained remission: After full criteria for opioid use disorder were previously met, none of the criteria for opioid use disorder have been met at any time during a period of 12 months or longer (with the exception that Criterion 4, “Craving, or a strong desire or urge to use opioids,” may be met).
The ICD-10 code Z86. 4 applies to cases where there is "a personal history of psychoactive substance abuse" (drugs or alcohol or tobacco) but specifically excludes current dependence (F10 - F19 codes with the fourth digit of 2).
Example: In the case of a patient getting injectable buprenorphine, OTPs bill HCPCS code G2069 for the week you supply the injection. For the following weeks, when you supply at least 1 non-drug service, bill HCPCS code G2074, which describes a non-drug bundle.