F11.182
BillableOpioid abuse with opioid-induced sleep disorder
HCC Category Mapping
V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe
0.358V24HCC 55 — Drug/Alcohol Dependence
0.334ESRDHCC 55 — Drug/Alcohol Dependence
0.000What This Code Means
A person who misuses opioids and experiences sleep problems (such as insomnia or excessive daytime sleepiness) caused by the opioid use.
Coding Tips
- •Document the specific sleep disturbance (insomnia, hypersomnia, sleep apnea) when documented
- •Distinguish between sleep disorders caused by opioid abuse versus withdrawal-related sleep issues
Clinical Significance
Opioid abuse with opioid-induced sleep disorder captures insomnia, hypersomnia, or other sleep disturbances directly caused by opioid misuse. Opioids disrupt normal sleep architecture, reduce rapid eye movement sleep, and can cause central sleep apnea. Sleep disturbances often persist and complicate recovery efforts.
Documentation Requirements
- ✓Provider documentation of opioid abuse
- ✓Documentation of specific sleep disturbance (insomnia, hypersomnia, sleep apnea, disrupted sleep architecture)
- ✓Statement linking sleep disorder to opioid use
- ✓Assessment distinguishing from primary sleep disorders
- ✓Sleep study results if available
- ✓Treatment plan addressing both opioid abuse and sleep disturbance
Commonly Confused Codes
F11.282 — Opioid dependence with opioid-induced sleep disorder: use when dependence is documentedF10.182 — Alcohol abuse with alcohol-induced sleep disorder: use when alcohol is the causative substanceG47.00 — Insomnia, unspecified: use when insomnia is NOT opioid-inducedG47.30 — Sleep apnea, unspecified: use when sleep apnea is NOT opioid-induced
Code Hierarchy
└F11Opioid related disorders└F11.1Opioid abuse└F11.18Opioid abuse with other opioid-induced disorder└F11.182Opioid abuse with opioid-induced sleep disorder
└F11.182Opioid abuse with opioid-induced sleep disorder