Codes for opioid-related contributing cause of overdose death include a T (for example., T40.1: heroin, T40.4: other synthetic opioids). The ICD codes for opioid-overdose related deaths are provided in Table 1, below. NCHS data is compiled in the CDC WONDER online tool (https://wonder.cdc.gov). To retrieve these data from the tool:
2018/2019 ICD-10-CM Diagnosis Code F11. Opioid related disorders. F11 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
• Codes for underlying cause of overdose death include the letter X or Y (for example, X40: accidental poisoning, X60: intentional self-harm). • Codes for opioid-related contributing cause of overdose death include a T (for example., T40.1: heroin, T40.4: other synthetic opioids).
A secondary code from category F11, Opioid-related disorders, should also be assigned to identify the manifestation of Opioid Use and Counseling. Procedure codes such as Evaluation and Management (E/M) codes are a method of documenting what service or procedure was performed.
According to the National Institute on Drug Abuse, more than 115 people in the United States die after overdosing on opioids, every day.
ICD-10-CM Code for Long term (current) use of opiate analgesic Z79. 891.
The clinical syndrome of any 'drug overdose' is typically represented by two broad ranges of codes within the ICD-10; “T36 to T50 Poisoning by drugs, medicaments and biological substances” ('T-codes') and “F10 to F19 Mental and behavioural disorders due to psychoactive substance use” ('F-codes').
911A: Poisoning by multiple unspecified drugs, medicaments and biological substances, accidental (unintentional), initial encounter.
ICD-10 code F11. 20 for Opioid dependence, uncomplicated is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .
When coding an adverse effect of a drug that has been correctly prescribed and properly administered, assign the appropriate code for the nature of the adverse effect followed by the appropriate code for the adverse effect of the drug (T36-T50).
Other psychoactive substance abuse, uncomplicated F19. 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 F19. 10 became effective on October 1, 2021.
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).
“Opioids” include prescription drugs such as codeine, morphine, oxycodone (OxyContin®, Percodan®, Percocet®), hydrocodone (Vicodin®, Lortab®, Lorcet®), and meperidine (Demerol®), as well as illegal drugs like heroin.