F11.181

Billable

Opioid abuse with opioid-induced sexual dysfunction

HCC Category Mapping

V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe

0.358

V24HCC 55 — Drug/Alcohol Dependence

0.334

ESRDHCC 55 — Drug/Alcohol Dependence

0.000

What This Code Means

A person who misuses opioids and experiences sexual dysfunction (such as erectile dysfunction or decreased sexual desire) as a direct effect of the opioid use.

Coding Tips

•Document the specific type of sexual dysfunction when available (erectile dysfunction, decreased libido, etc.)
•Ensure the sexual dysfunction is attributed to opioid abuse and not another underlying condition

Clinical Significance

Opioid abuse with opioid-induced sexual dysfunction captures sexual performance or desire problems directly caused by opioid misuse, including erectile dysfunction, decreased libido, and delayed orgasm. Opioids suppress gonadotropin-releasing hormone, leading to hypogonadism and related sexual dysfunction. This is a quality-of-life issue that may also affect treatment adherence.

Documentation Requirements

✓Provider documentation of opioid abuse
✓Documentation of specific sexual dysfunction (erectile dysfunction, decreased libido, anorgasmia, delayed ejaculation)
✓Statement attributing sexual dysfunction to opioid use
✓Assessment ruling out other causes (vascular disease, hormonal disorders, medications, psychological factors)
✓Hormone levels if tested (testosterone may be low due to opioid-induced hypogonadism)

Commonly Confused Codes

F11.281 — Opioid dependence with opioid-induced sexual dysfunction: use when dependence is documented F10.181 — Alcohol abuse with alcohol-induced sexual dysfunction: use when alcohol (not opioids) is the causative substance N52.9 — Male erectile dysfunction, unspecified: use when erectile dysfunction is NOT opioid-induced F52.0 — Hypoactive sexual desire disorder: use when decreased desire is NOT substance-induced

Code Hierarchy

└F11.181Opioid abuse with opioid-induced sexual dysfunction