2022 ICD-10-CM Code F11

Opioid related disorders

Version 2021

Not Valid for Submission

ICD-10:F11
Short Description:Opioid related disorders
Long Description:Opioid related disorders

Code Classification

  • Mental and behavioural disorders (F00–F99)
    • Mental and behavioral disorders due to psychoactive substance use (F10-F19)
      • Opioid related disorders (F11)

F11 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of opioid related disorders. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding for Opioid related disorders

Non-specific codes like F11 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for opioid related disorders:

  • NON-BILLABLE CODE - F11.1 for Opioid abuse
  • BILLABLE CODE - Use F11.10 for Opioid abuse, uncomplicated
  • BILLABLE CODE - Use F11.11 for Opioid abuse, in remission
  • NON-BILLABLE CODE - F11.12 for Opioid abuse with intoxication
  • BILLABLE CODE - Use F11.13 for Opioid abuse with withdrawal
  • BILLABLE CODE - Use F11.14 for Opioid abuse with opioid-induced mood disorder
  • NON-BILLABLE CODE - F11.15 for Opioid abuse with opioid-induced psychotic disorder
  • NON-BILLABLE CODE - F11.18 for Opioid abuse with other opioid-induced disorder
  • BILLABLE CODE - Use F11.19 for Opioid abuse with unspecified opioid-induced disorder
  • NON-BILLABLE CODE - F11.2 for Opioid dependence
  • BILLABLE CODE - Use F11.20 for Opioid dependence, uncomplicated
  • BILLABLE CODE - Use F11.21 for Opioid dependence, in remission
  • NON-BILLABLE CODE - F11.22 for Opioid dependence with intoxication
  • BILLABLE CODE - Use F11.23 for Opioid dependence with withdrawal
  • BILLABLE CODE - Use F11.24 for Opioid dependence with opioid-induced mood disorder
  • NON-BILLABLE CODE - F11.25 for Opioid dependence with opioid-induced psychotic disorder
  • NON-BILLABLE CODE - F11.28 for Opioid dependence with other opioid-induced disorder
  • BILLABLE CODE - Use F11.29 for Opioid dependence with unspecified opioid-induced disorder
  • NON-BILLABLE CODE - F11.9 for Opioid use, unspecified
  • BILLABLE CODE - Use F11.90 for Opioid use, unspecified, uncomplicated
  • NON-BILLABLE CODE - F11.92 for Opioid use, unspecified with intoxication
  • BILLABLE CODE - Use F11.93 for Opioid use, unspecified with withdrawal
  • BILLABLE CODE - Use F11.94 for Opioid use, unspecified with opioid-induced mood disorder
  • NON-BILLABLE CODE - F11.95 for Opioid use, unspecified with opioid-induced psychotic disorder
  • NON-BILLABLE CODE - F11.98 for Opioid use, unspecified with other specified opioid-induced disorder
  • BILLABLE CODE - Use F11.99 for Opioid use, unspecified with unspecified opioid-induced disorder

Clinical Information

Information for Patients


Opioid Misuse and Addiction

Opioids, sometimes called narcotics, are a type of drug. They include strong prescription pain relievers, such as oxycodone, hydrocodone, fentanyl, and tramadol. The illegal drug heroin is also an opioid. Some opioids are made from the opium plant, and others are synthetic (man-made).

A doctor may give you a prescription opioid to reduce pain after you have had a major injury or surgery. You may get them if you have severe pain from health conditions like cancer. Some doctors prescribe them for chronic pain.

Opioids can cause side effects such as drowsiness, mental fog, nausea, and constipation. They may also cause slowed breathing, which can lead to overdose deaths. If someone has signs of an overdose, call 911:

Other risks of using prescription opioids include dependence and addiction. Dependence means feeling withdrawal symptoms when not taking the drug. Addiction is a chronic brain disease that causes a person to compulsively seek out drugs, even though they cause harm. The risks of dependence and addiction are higher if you misuse the medicines. Misuse can include taking too much medicine, taking someone else's medicine, taking it in a different way than you are supposed to, or taking the medicine to get high.

Opioid misuse, addiction, and overdoses are serious public health problems in the United States. Another problem is that more women are misusing opioids during pregnancy. This can lead to babies being addicted and going through withdrawal, known as neonatal abstinence syndrome (NAS). Opioid misuse may sometimes also lead to heroin use, because some people switch from prescription opioids to heroin.

The main treatment for prescription opioid addiction is medication-assisted treatment (MAT). It includes medicines, counseling, and support from family and friends. MAT can help you stop using the drug, get through withdrawal, and cope with cravings. There is also a medicine called naloxone which can reverse the effects of an opioid overdose and prevent death, if it is given in time.

To prevent problems with prescription opioids, be sure to follow your doctor's instructions when taking them. Do not share your medicines with anyone else. Contact your doctor if you have any concerns about taking the medicines.

NIH: National Institute on Drug Abuse


[Learn More in MedlinePlus]

Prescription Drug Misuse

If you take a medicine in a way that is different from what the doctor prescribed, it is called prescription drug misuse. It could be

Misusing some prescription drugs can lead to addiction. These include opioids, sedatives, tranquilizers, and stimulants.

Every medicine has some risk of side effects. Doctors take this into account when prescribing medicines. People who misuse these drugs may not understand the risks. The medicines may not be safe for them, especially at higher doses or when taken with other medicines.

NIH: National Institute on Drug Abuse


[Learn More in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)