F11.220
BillableOpioid dependence with intoxication, uncomplicated
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 is dependent on opioids and is currently intoxicated (under the influence) from opioid use without severe complications like delirium.
Coding Tips
- •Document the signs and symptoms of intoxication (drowsiness, slurred speech, impaired coordination)
- •Distinguish between uncomplicated intoxication and intoxication with delirium (F11.221)
Clinical Significance
Opioid dependence with uncomplicated intoxication indicates a dependent patient is currently under the influence of opioids without delirium or perceptual disturbances. This may be seen in emergency settings or during active use episodes in patients known to have dependence. It reflects acute-on-chronic substance use requiring monitoring.
Documentation Requirements
- ✓Provider documentation of opioid dependence
- ✓Documentation of current intoxication signs (miosis, sedation, slurred speech, respiratory depression)
- ✓Confirmation that intoxication is uncomplicated (no delirium, no perceptual changes)
- ✓Vital signs including respiratory rate
- ✓Assessment for overdose risk
- ✓Type of opioid if known
Commonly Confused Codes
F11.221 — Opioid dependence with intoxication delirium: use when delirium is presentF11.222 — Opioid dependence with intoxication with perceptual disturbance: use when hallucinations occurF11.120 — Opioid abuse with intoxication, uncomplicated: use when abuse (not dependence) is documentedF11.20 — Opioid dependence, uncomplicated: use when there is no active intoxication
Code Hierarchy
└F11Opioid related disorders└F11.2Opioid dependence└F11.22Opioid dependence with intoxication└F11.220Opioid dependence with intoxication, uncomplicated
└F11.220Opioid dependence with intoxication, uncomplicated