F11.281
BillableOpioid dependence with opioid-induced sexual dysfunction
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 has sexual dysfunction (difficulty with sexual arousal, performance, or satisfaction) caused by the opioid use.
Coding Tips
- •Document the specific type of sexual dysfunction if possible (erectile dysfunction, decreased libido, anorgasmia, etc.)
- •This is a common side effect of chronic opioid use that should be addressed in treatment planning
Clinical Significance
Opioid dependence with opioid-induced sexual dysfunction reflects a well-documented pharmacological effect where chronic opioid use suppresses the hypothalamic-pituitary-gonadal axis, leading to hypogonadism, decreased testosterone, and resultant sexual dysfunction. This affects treatment adherence and quality of life and may require hormonal assessment and intervention.
Documentation Requirements
- ✓Provider documentation of opioid dependence
- ✓Documentation of specific sexual dysfunction (erectile dysfunction, decreased libido, anorgasmia, delayed ejaculation)
- ✓Statement attributing sexual dysfunction to opioid dependence
- ✓Hormone levels if tested (testosterone, luteinizing hormone, follicle-stimulating hormone)
- ✓Assessment ruling out other causes (vascular disease, diabetes, other medications)
- ✓Treatment plan addressing both dependence and sexual dysfunction
Commonly Confused Codes
F11.181 — Opioid abuse with opioid-induced sexual dysfunction: use when abuse (not dependence) is documentedN52.9 — Male erectile dysfunction, unspecified: use when erectile dysfunction is NOT opioid-relatedF52.0 — Hypoactive sexual desire disorder: use when decreased desire is NOT substance-inducedE29.1 — Testicular hypofunction: may be coded additionally if opioid-induced hypogonadism is documented
Code Hierarchy
└F11Opioid related disorders└F11.2Opioid dependence└F11.28Opioid dependence with other opioid-induced disorder└F11.281Opioid dependence with opioid-induced sexual dysfunction
└F11.281Opioid dependence with opioid-induced sexual dysfunction