2027 ICD-10-CM Diagnosis Code F11.90Opioid use, unspecified, uncomplicated
ICD-10-CM Codes›F01–F99›F10-F19›F11
- Billable — Valid for Submission
- Not Chronic
F11.90 is a billable ICD-10-CM diagnosis code for opioid use, unspecified, uncomplicated. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 894 through 897. Coders also document this condition as opioid use disorder. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Opioid-related disorders.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Opioid use disorder
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to F11.90: its own notes plus those printed at F11.9 and Chapter 5. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- disorders of psychological development
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name F11.90, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming F11.90: they are not reported together with it, unless the two conditions are unrelated.
Excludes2 1
These codes carry an Excludes2 note naming F11.90: its condition is not part of those codes, and both may be reported when the patient has both.
Use Additional Code 1
These codes say to use an additional code from the note, and F11.90 is one of the codes named.
Index to Diseases and InjuriesGuidance
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Opioid-Related Disorders
disorders related to or resulting from abuse or misuse of opioids.
Patient EducationClinical
Pain Relievers
Pain relievers are medicines that reduce or relieve headaches, sore muscles, arthritis, or other aches and pains. There are many different pain medicines, and each has advantages and risks. Some types of pain respond better to certain medicines than others. Each person may also have a slightly different response to a pain reliever.
The full article covers:
- What are pain relievers?
- What are the types of over-the-counter pain relievers?
- What are prescription pain relievers?
- What are some non-drug treatments for pain?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert F11.90 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About F11.90Overview
What is the ICD-10 code for opioid use, unspecified, uncomplicated?
The ICD-10-CM code for opioid use, unspecified, uncomplicated is F11.90 (sometimes written as F1190). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is F11.90 (Opioid use, unspecified) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report opioid use, unspecified, uncomplicated on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does F11.90 group to?
When opioid use, unspecified, uncomplicated is the principal diagnosis on an inpatient stay, it groups to MS-DRG 894, 897, 895, 896, with relative weights from 0.6272 to 1.6610 depending on complications. Higher weights mean higher Medicare reimbursement.
Can F11.90 be reported with a code from F11.1?
Not as a rule. The Excludes1 note at F11.9, which applies to F11.90, lists "opioid abuse (F11.1-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What is the ICD-9 equivalent of F11.90?
Under the General Equivalence Mappings, opioid use, unspecified, uncomplicated converts to ICD-9-CM 305.50 (opioid abuse-unspec). The mapping is approximate, so confirm the match fits the documentation.
