F11.188
BillableOpioid abuse with other opioid-induced 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 other medical or mental health problems caused by the opioid use that are not covered by more specific codes.
Coding Tips
- •Document the specific opioid-induced disorder in the medical record (e.g., anxiety, mood disorder, cognitive impairment)
- •Use this code only when the induced disorder doesn't fit into other specified F11.1x categories
Clinical Significance
Opioid abuse with other opioid-induced disorder captures opioid-induced conditions not classified under specific codes, such as opioid-induced anxiety disorder, cognitive impairment, or other neuropsychiatric effects. This code serves as a catch-all for documented opioid-induced conditions that lack their own specific code within the abuse category.
Documentation Requirements
- ✓Provider documentation of opioid abuse
- ✓Documentation of the specific opioid-induced disorder (anxiety, cognitive impairment, etc.)
- ✓Statement that the condition is opioid-induced
- ✓Assessment ruling out other etiologies
- ✓Explanation of why a more specific F11.1x code does not apply
Commonly Confused Codes
F11.14 — Opioid abuse with opioid-induced mood disorder: use when mood disorder is the specific induced conditionF11.181 — Opioid abuse with opioid-induced sexual dysfunction: use when sexual dysfunction is presentF11.182 — Opioid abuse with opioid-induced sleep disorder: use when sleep disorder is presentF11.19 — Opioid abuse with unspecified opioid-induced disorder: use when the induced disorder is not identified at all
Code Hierarchy
└F11Opioid related disorders└F11.1Opioid abuse└F11.18Opioid abuse with other opioid-induced disorder└F11.188Opioid abuse with other opioid-induced disorder
└F11.188Opioid abuse with other opioid-induced disorder