Opioid abuse opioid dependence (F11.2-); opioid use, unspecified (F11.9-) ICD-10-CM Diagnosis Code Z91.41 Personal history of adult abuse personal history of abuse in childhood (Z62.81-) ICD-10-CM Diagnosis Code Z91.51 [convert to ICD-9-CM] Personal history of suicidal behavior
Dec 06, 2017 · 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, in remission). ICD-10-CM does not include a code for history of opioid use. Source: ICD-10-CM Coding Guidelines Section C.5. Psychoactive Substance Use, Abuse and Dependence
Oct 01, 2021 · Opioid abuse, uncomplicated. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. F11.10 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 F11.10 became effective on October 1, 2021.
Oct 01, 2021 · Z86.59 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 Z86.59 became effective on October 1, 2021. This is the American ICD-10-CM version of Z86.59 - other international versions of ICD-10 Z86.59 may differ.
Diagnosis code | Description |
---|---|
ICD-9-CM diagnosis codes | |
Opioid use | |
F11.90 | Opioid use, unspecified, uncomplicated |
F11.920 | Opioid use, unspecified with intoxication, uncomplicated |
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, ...
Personal history of other mental and behavioral disorders 1 Z86.59 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM Z86.59 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z86.59 - other international versions of ICD-10 Z86.59 may differ.
The 2022 edition of ICD-10-CM Z86.59 became effective on October 1, 2021.
Personal history of other specified conditions 1 Z87.898 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM Z87.898 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z87.898 - other international versions of ICD-10 Z87.898 may differ.
The 2022 edition of ICD-10-CM Z87.898 became effective on October 1, 2021.
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, ...
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.
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.
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 ...
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.