F11.2 - Opioid dependence
|Short Description:||Opioid dependence|
|Long Description:||Opioid dependence|
|Status:||Not Valid for Submission|
F11.2 is a non-specific and non-billable ICD-10 code code, consider using a code with a higher level of specificity for a diagnosis of opioid dependence. The code is not specific and is NOT valid for the year 2023 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 dependence
Non-specific codes like F11.2 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 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 F11.220 for Opioid dependence with intoxication, uncomplicated
- BILLABLE CODE - Use F11.221 for Opioid dependence with intoxication delirium
- BILLABLE CODE - Use F11.222 for Opioid dependence with intoxication with perceptual disturbance
- BILLABLE CODE - Use F11.229 for Opioid dependence with intoxication, unspecified
- 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
- BILLABLE CODE - Use F11.250 for Opioid dependence with opioid-induced psychotic disorder with delusions
- BILLABLE CODE - Use F11.251 for Opioid dependence with opioid-induced psychotic disorder with hallucinations
- BILLABLE CODE - Use F11.259 for Opioid dependence with opioid-induced psychotic disorder, unspecified
- NON-BILLABLE CODE - F11.28 for Opioid dependence with other opioid-induced disorder
- BILLABLE CODE - Use F11.281 for Opioid dependence with opioid-induced sexual dysfunction
- BILLABLE CODE - Use F11.282 for Opioid dependence with opioid-induced sleep disorder
- BILLABLE CODE - Use F11.288 for Opioid dependence with other opioid-induced disorder
- BILLABLE CODE - Use F11.29 for Opioid dependence with unspecified opioid-induced disorder
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Type 2 ExcludesType 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
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:
- The person's face is extremely pale and/or feels clammy to the touch
- Their body goes limp
- Their fingernails or lips have a purple or blue color
- They start vomiting or making gurgling noises
- They cannot be awakened or are unable to speak
- Their breathing or heartbeat slows or stops
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:
- Taking a medicine that was prescribed for someone else
- Taking a larger dose than you are supposed to
- Taking the medicine in a different way than you are supposed to. This might be crushing tablets and then snorting or injecting them.
- Using the medicine for another purpose, such as getting high
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]
Opioid addiction is a long-lasting (chronic) disease that can cause major health, social, and economic problems. Opioids are a class of drugs that act in the nervous system to produce feelings of pleasure and pain relief. Some opioids are legally prescribed by healthcare providers to manage severe and chronic pain. Commonly prescribed opioids include oxycodone, fentanyl, buprenorphine, methadone, oxymorphone, hydrocodone, codeine, and morphine. Some other opioids, such as heroin, are illegal drugs of abuse.
Opioid addiction is characterized by a powerful, compulsive urge to use opioid drugs, even when they are no longer required medically. Opioids have a high potential for causing addiction in some people, even when the medications are prescribed appropriately and taken as directed. Many prescription opioids are misused or diverted to others. Individuals who become addicted may prioritize getting and using these drugs over other activities in their lives, often negatively impacting their professional and personal relationships. It is unknown why some people are more likely to become addicted than others.
Opioids change the chemistry of the brain and lead to drug tolerance, which means that over time the dose needs to be increased to achieve the same effect. Taking opioids over a long period of time produces dependence, such that when people stop taking the drug, they have physical and psychological symptoms of withdrawal (such as muscle cramping, diarrhea, and anxiety). Dependence is not the same thing as addiction; although everyone who takes opioids for an extended period will become dependent, only a small percentage also experience the compulsive, continuing need for the drug that characterizes addiction.
Opioid addiction can cause life-threatening health problems, including the risk of overdose. Overdose occurs when high doses of opioids cause breathing to slow or stop, leading to unconsciousness and death if the overdose is not treated immediately. Both legal and illegal opioids carry a risk of overdose if a person takes too much of the drug, or if opioids are combined with other drugs (particularly tranquilizers called benzodiazepines).
[Learn More in MedlinePlus]
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- 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)