F11.920

Billable

Opioid use, unspecified with intoxication, uncomplicated

HCC Category Mapping

V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe

0.358

V24HCC 55 — Drug/Alcohol Dependence

0.334

ESRDHCC 55 — Drug/Alcohol Dependence

0.000

What This Code Means

A person uses opioids without dependence and is currently intoxicated, but has no other complications from the intoxication.

Coding Tips

•This code requires documentation of opioid intoxication without the presence of perceptual disturbances or other complications
•The 'uncomplicated' designation means no additional opioid-induced disorders are present

Clinical Significance

Opioid use, unspecified with uncomplicated intoxication captures cases where a patient is intoxicated from opioids but the use pattern is not classified as abuse or dependence. This may be seen in first-time presentations or when clinical history is limited. It indicates acute opioid effects requiring monitoring, particularly for respiratory depression.

Documentation Requirements

✓Documentation of opioid intoxication (signs: miosis, sedation, respiratory depression, slurred speech)
✓Statement that the opioid use pattern is not specified as abuse or dependence
✓Confirmation that intoxication is uncomplicated (no delirium, no perceptual disturbances)
✓Vital signs and clinical monitoring documentation
✓Assessment for further classification of use pattern when history becomes available

Commonly Confused Codes

F11.120 — Opioid abuse with intoxication, uncomplicated: use when abuse is documented F11.220 — Opioid dependence with intoxication, uncomplicated: use when dependence is documented F11.921 — Opioid use, unspecified with intoxication delirium: use when delirium is present T40.2X1A — Poisoning by other opioids, accidental: use for accidental overdose/poisoning

Code Hierarchy

└F11.920Opioid use, unspecified with intoxication, uncomplicated