Opioid dependence, uncomplicated. F11.20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM F11.20 became effective on October 1, 2018.
2018/2019 ICD-10-CM Diagnosis Code F11.20. Opioid dependence, uncomplicated. 2016 2017 2018 2019 Billable/Specific Code. F11.20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
To code a diagnosis of this type, you must use one of the eight child codes of F11.2 that describes the diagnosis 'opioid dependence' in more detail. F11.2 Opioid dependence NON-BILLABLE BILLABLE F11.20 Opioid dependence, uncomplicated
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. ICD-10-CM Coding Guidelines Section C.5.
Methadone causing adverse effects in therapeutic use: E935.2: Other opiates and related narcotics causing adverse effects in therapeutic use: E940.1: Adverse effects of opiate antagonists: ICD-10-CM diagnosis codes; Opioid abuse/dependence; F11.10: Opioid abuse, uncomplicated: F11.120: Opioid abuse with intoxication, uncomplicated: F11.121
Table 4ICD-9-CM and ICD-10-CM diagnosis codes defining opioid use disorder (OUD)Diagnosis codeDescriptionICD-9-CM diagnosis codesF11.229Opioid dependence with intoxication, unspecifiedF11.23Opioid dependence with withdrawalF11.24Opioid dependence with opioid-induced mood disorder138 more rows
ICD-10 code Z79. 891 for Long term (current) use of opiate analgesic is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
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.
Substance use disorders and ICD-10-CM codingMental and Behavioral Disorders due to...Code1...use of opioidsF11...use of cannabisF12...use of sedatives, hypnotics, anxiolyticsF13...use of cocaineF146 more rows•Sep 10, 2015
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.
A condition that follows the administration of a psychoactive substance resulting in disturbances in level of consciousness, cognition, perception, affect or behaviour, or other psycho-physiological functions and responses. The disturbances are directly related to the acute pharmacological effects of the substance and resolve with time, with complete recovery, except where tissue damage or other complications have arisen. Complications may include trauma, inhalation of vomitus, delirium, coma, convulsions, and other medical complications. The nature of these complications depends on the pharmacological class of substance and mode of administration.
A group of symptoms of variable clustering and severity occurring on absolute or relative withdrawal of a psychoactive substance after persistent use of that substance. The onset and course of the withdrawal state are time-limited and are related to the type of psychoactive substance and dose being used immediately before cessation or reduction of use. The withdrawal state may be complicated by convulsions.
Opioiddependencedoes not develop without a period of regular use, although regular use alone is not sufficient to induce dependence.
The ICD code F112 is used to code Opioid addiction and dependence. Opioid addiction and opioid dependence, sometimes classified together as an opioid use disorder, are medical conditions that characterize the compulsive use of opioids (e.g., morphine, heroin, codeine, oxycodone, hydrocodone, etc.) in spite of consequences ...
Use a child code to capture more detail. ICD Code F11.2 is a non-billable code.
The necessary descriptive characteristics of the medical diagnosis are preoccupation with a desire to obtain and take the drug and persistent drug-seeking behaviour. The opioid dependence-withdrawal syndrome involves both psychological dependence and marked physical dependence upon opioid compounds. Specialty:
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.
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 ...
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.”
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 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.”