2026 ICD-10-CM Diagnosis Code F11.950Opioid use, unspecified with opioid-induced psychotic disorder with delusions

ICD-10-CM Codes›F01–F99›F10-F19›F11

ICD-10-CM F11.950
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

F11.950 is a billable ICD-10-CM diagnosis code for opioid use, unspecified with opioid-induced psychotic disorder with delusions. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 894 through 897. Coders also document this condition as opioid-induced psychotic disorder with delusions. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Opioid-related disorders and Schizophrenia spectrum and other psychotic disorders.

Code Identity

ICD-10-CM Code
F11.950
Billable Status
Yes — Valid for Submission
Code Describes
Opioid use, unspecified with opioid-induced psychotic disorder with delusions
Short Description
Opioid use, unsp w opioid-induc psych disorder w delusions
Parent Code
F11.95
Opioid use, unspecified with opioid-induced psychotic disorder

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF10-F19Mental and behavioral disorders due to psychoactive substance use
CategoryF11Opioid related disorders
This CodeF11.950Opioid use, unspecified with opioid-induced psychotic disorder with delusions

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Opioid-induced psychotic disorder with delusions
  • Psychotic disorder caused by opioid

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Disorder(of)
      • opioid use
        • with
          • opioid-induced psychotic disorder
            • with
              • delusions

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MBD018
Opioid-related disorders
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR MBD001
Schizophrenia spectrum and other psychotic disorders
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Opioids and Opioid Use Disorder (OUD)

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).

The full article covers:

  • What are opioids?
  • What are the side effects and risks of opioids?
  • What is opioid use disorder (OUD)?
  • How are opioid use disorder (OUD) and opioid overdose treated?
  • How can I prevent problems when taking prescription opioids?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert F11.950 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
292.11 Drug psych disor w delus
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About F11.950Overview

Is F11.950 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report opioid use, unspecified with opioid-induced psychotic disorder with delusions on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does F11.950 group to?

When opioid use, unspecified with opioid-induced psychotic disorder with delusions is the principal diagnosis on an inpatient stay, it groups to MS-DRG 894, 895, 896, 897, with relative weights from 0.6169 to 1.7451 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of F11.950?

Under the General Equivalence Mappings, opioid use, unspecified with opioid-induced psychotic disorder with delusions converts to ICD-9-CM 292.11 (drug psych disor w delus). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.