F11.288
BillableOpioid dependence with other opioid-induced 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 opioids and has other medical or psychiatric problems caused by the opioid use that are not covered by more specific codes.
Coding Tips
- •Use this code for opioid-induced disorders not classified elsewhere, such as opioid-induced mood disorder or anxiety disorder
- •Always document the specific opioid-induced condition in the medical record for clarity
Clinical Significance
Opioid dependence with other opioid-induced disorder captures opioid-induced conditions in dependent patients that are not classified under specific codes, such as opioid-induced anxiety, cognitive impairment, or hyperalgesia. This 'other specified' code indicates the condition is identified but lacks its own unique code.
Documentation Requirements
- ✓Provider documentation of opioid dependence
- ✓Documentation of the specific opioid-induced disorder (name the condition)
- ✓Statement that the condition is opioid-induced
- ✓Assessment ruling out other etiologies
- ✓Explanation of why a more specific F11.2x code does not apply
- ✓Treatment plan
Commonly Confused Codes
F11.24 — Opioid dependence with opioid-induced mood disorder: use when mood disorder is the specific induced conditionF11.281 — Opioid dependence with opioid-induced sexual dysfunction: use when sexual dysfunction is presentF11.282 — Opioid dependence with opioid-induced sleep disorder: use when sleep disorder is presentF11.29 — Opioid dependence with unspecified opioid-induced disorder: use when the induced disorder is NOT identified
Code Hierarchy
└F11Opioid related disorders└F11.2Opioid dependence└F11.28Opioid dependence with other opioid-induced disorder└F11.288Opioid dependence with other opioid-induced disorder
└F11.288Opioid dependence with other opioid-induced disorder