F11.24
BillableOpioid dependence with opioid-induced mood 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 is dependent on opioid drugs (like heroin or prescription painkillers) and has developed a mood disorder (such as depression or anxiety) as a direct result of their opioid use. This code indicates both the addiction and the emotional/mental health problem caused by the opioids.
Coding Tips
- •Ensure documentation clearly establishes that the mood disorder is opioid-induced rather than a separate pre-existing condition; the provider should explicitly link the mood symptoms to opioid use
- •This code includes both the dependence and the mood disorder, so do not code them separately; verify the patient meets criteria for opioid dependence (not just abuse or use) to select this specific code
Clinical Significance
Opioid dependence with opioid-induced mood disorder captures the co-occurrence of physiological opioid addiction and a mood disturbance directly caused by the opioid use. This is clinically significant because the mood disorder will not fully resolve without addressing the underlying opioid dependence, and the mood symptoms may complicate recovery efforts.
Documentation Requirements
- ✓Provider documentation of opioid dependence
- ✓Statement explicitly linking mood disorder to opioid use (not a pre-existing mood condition)
- ✓Description of mood symptoms (depression, dysphoria, anhedonia, emotional lability)
- ✓Temporal relationship between opioid use and mood disorder onset
- ✓Assessment distinguishing from independent major depressive disorder or bipolar disorder
- ✓Integrated treatment plan addressing both dependence and mood symptoms
Commonly Confused Codes
F11.14 — Opioid abuse with opioid-induced mood disorder: use when abuse (not dependence) is documentedF11.94 — Opioid use, unspecified with opioid-induced mood disorder: use when use pattern is unspecifiedF32.9 — Major depressive disorder, single episode, unspecified: use when depression is NOT opioid-inducedF11.20 — Opioid dependence, uncomplicated: use when no mood disorder or other complication is present
Code Hierarchy
└F11Opioid related disorders└F11.2Opioid dependence└F11.24Opioid dependence with opioid-induced mood disorder
└F11.24Opioid dependence with opioid-induced mood disorder