F11.222
BillableOpioid dependence with intoxication with perceptual disturbance
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 is dependent on opioids and is currently intoxicated with distorted perceptions or hallucinations as a result of the opioid use.
Coding Tips
- •This code requires documentation of both opioid dependence AND active intoxication with perceptual disturbances
- •Perceptual disturbances may include visual, auditory, or tactile hallucinations caused by opioid intoxication
Clinical Significance
Opioid dependence with intoxication with perceptual disturbance indicates a dependent patient experiencing hallucinations or sensory distortions during opioid intoxication. This is less common with opioids than with other substances and may suggest poly-substance use or very high-dose opioid exposure. It requires careful psychiatric assessment.
Documentation Requirements
- ✓Provider documentation of opioid dependence
- ✓Documentation of active intoxication
- ✓Specific perceptual disturbances described (visual, auditory, tactile hallucinations or illusions)
- ✓Assessment confirming perceptual disturbances without full delirium criteria
- ✓Assessment for poly-substance use
- ✓Mental status examination
- ✓Treatment and monitoring plan
Commonly Confused Codes
F11.221 — Opioid dependence with intoxication delirium: use when full delirium is present, not just perceptual changesF11.220 — Opioid dependence with intoxication, uncomplicated: use when no perceptual disturbances or delirium are presentF11.122 — Opioid abuse with intoxication with perceptual disturbance: use when abuse (not dependence) is documentedF11.251 — Opioid dependence with psychotic disorder with hallucinations: use for persistent psychosis, not acute intoxication effects
Code Hierarchy
└F11Opioid related disorders└F11.2Opioid dependence└F11.22Opioid dependence with intoxication└F11.222Opioid dependence with intoxication with perceptual disturbance
└F11.222Opioid dependence with intoxication with perceptual disturbance