F11.229
BillableOpioid dependence with intoxication, unspecified
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, but the specific type of intoxication symptoms is not documented or specified.
Coding Tips
- •Use this code only when intoxication is present but details about perceptual disturbances or other specific symptoms are not documented
- •This is a less specific code; try to obtain more detailed documentation when possible
Clinical Significance
Opioid dependence with intoxication, unspecified captures cases where a dependent patient is intoxicated but the specific nature of the intoxication (uncomplicated, with delirium, or with perceptual disturbance) is not documented. This should prompt a provider query when possible to improve documentation specificity.
Documentation Requirements
- ✓Provider documentation of opioid dependence
- ✓Documentation of current intoxication
- ✓Clinical signs of intoxication present
- ✓Documentation supporting why specific intoxication type cannot be determined
Commonly Confused Codes
F11.220 — Opioid dependence with intoxication, uncomplicated: use when it is clear there are no complicationsF11.221 — Opioid dependence with intoxication delirium: use when delirium is documentedF11.222 — Opioid dependence with intoxication with perceptual disturbance: use when perceptual changes are documentedF11.929 — Opioid use, unspecified with intoxication, unspecified: use when the use pattern is also unspecified
Code Hierarchy
└F11Opioid related disorders└F11.2Opioid dependence└F11.22Opioid dependence with intoxication└F11.229Opioid dependence with intoxication, unspecified
└F11.229Opioid dependence with intoxication, unspecified