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F11.20

Billable

Opioid dependence, uncomplicated

HCC Category Mapping

V28HCC 137Drug Use Disorder/Substance Use Disorder, Moderate/Severe
0.358
V24HCC 55Drug/Alcohol Dependence
0.334
ESRDHCC 55Drug/Alcohol Dependence
0.000

What This Code Means

A person who is dependent on opioids (unable to stop using despite wanting to) and has no current complications from the dependence.

Coding Tips

  • This code indicates opioid dependence without acute intoxication, withdrawal, or other specified complications
  • Document whether the patient is in treatment or attempting to manage the dependence

Clinical Significance

Opioid dependence, uncomplicated is a critical diagnosis indicating physiological and psychological addiction to opioids with tolerance and withdrawal potential, but without current active complications. This diagnosis captures a chronic condition requiring ongoing management, often including medication-assisted treatment, and reflects significant expected healthcare utilization.

Documentation Requirements

  • Provider documentation explicitly stating opioid dependence (not just abuse or use)
  • Evidence of dependence criteria: tolerance, withdrawal potential, compulsive use, continued use despite harm
  • Type of opioid if documented (heroin, prescription opioids, fentanyl)
  • Current treatment status (medication-assisted treatment: methadone, buprenorphine, naltrexone)
  • Confirmation that no current complications (intoxication, withdrawal, induced disorders) are present
  • Treatment and monitoring plan

Commonly Confused Codes

Code Hierarchy

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