F11.11
BillableOpioid abuse, in remission
HCC Category Mapping
V28HCC 138 — Drug Use Disorder/Substance Use Disorder, Mild
0.476V24HCC 56 — Drug/Alcohol Abuse, Without Dependence
0.000ESRDHCC 56 — Drug/Alcohol Abuse, Without Dependence
0.000What This Code Means
A person previously abused opioids but is now in remission, meaning they have stopped or significantly reduced their opioid use.
Coding Tips
- •Use this code when documentation clearly states the patient is in remission or recovery from opioid abuse
- •Specify the length of remission (early or sustained) if documented; this may require a fifth character in some contexts
Clinical Significance
Opioid abuse in remission indicates a patient has a history of opioid abuse but is currently in recovery. This diagnosis is important for ongoing risk stratification and monitoring, as patients in remission remain at risk for relapse. Documenting remission status reflects positive clinical outcomes while maintaining awareness of the substance use history.
Documentation Requirements
- ✓Provider documentation of prior opioid abuse
- ✓Statement that the patient is currently in remission
- ✓Duration of remission if documented (early vs. sustained)
- ✓Current treatment status (medication-assisted treatment, counseling, support programs)
- ✓Assessment of relapse risk factors
- ✓Documentation of any ongoing monitoring or recovery program participation
Commonly Confused Codes
F11.10 — Opioid abuse, uncomplicated: use when abuse is active, not in remissionF11.21 — Opioid dependence, in remission: use when the patient had dependence (not just abuse) that is now in remissionZ87.898 — Personal history of other specified conditions: NOT a substitute for substance use in remission codesF11.90 — Opioid use, unspecified, uncomplicated: should not be used when abuse in remission is documented
Code Hierarchy
└F11Opioid related disorders└F11.1Opioid abuse└F11.11Opioid abuse, in remission
└F11.11Opioid abuse, in remission