F11.29
BillableOpioid dependence with unspecified 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 (such as heroin, prescription painkillers, or other opioid drugs) and has developed some kind of health problem caused by the opioid use, but the specific problem has not been identified or documented. This code is used when the opioid-related condition exists but is not clearly specified.
Coding Tips
- •Use this code only when an opioid-induced disorder is present but the specific type (such as opioid-induced depression, anxiety, or sleep disorder) cannot be determined from the medical record; if the specific disorder is documented, use a more specific F11.2x code instead
- •Ensure opioid dependence is clearly documented in the patient's record; this code requires evidence of both dependence and an unspecified opioid-induced condition, so review clinical notes for both components before coding
Clinical Significance
Opioid dependence with unspecified opioid-induced disorder is the least specific code for dependence with an induced condition. It indicates that an opioid-related health problem exists beyond the dependence itself, but the specific disorder is not identified. This code should trigger documentation improvement efforts and provider queries.
Documentation Requirements
- ✓Provider documentation of opioid dependence
- ✓Documentation that an opioid-induced disorder exists but is not further specified
- ✓Evidence supporting the presence of an induced condition (symptoms, clinical findings)
- ✓Assessment of the patient's overall clinical picture
Commonly Confused Codes
F11.20 — Opioid dependence, uncomplicated: use when NO induced disorder is present at allF11.288 — Opioid dependence with other opioid-induced disorder: use when the disorder IS identified but lacks a specific codeF11.24 — Opioid dependence with opioid-induced mood disorder: use when mood disorder is documentedF11.99 — Opioid use, unspecified with unspecified opioid-induced disorder: use when the use pattern is also unspecified
Code Hierarchy
└F11Opioid related disorders└F11.2Opioid dependence└F11.29Opioid dependence with unspecified opioid-induced disorder
└F11.29Opioid dependence with unspecified opioid-induced disorder