F11.922

Billable

Opioid use, unspecified with intoxication with perceptual disturbance

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

Opioid intoxication accompanied by distorted perceptions such as seeing, hearing, or feeling things that aren't there, without meeting full delirium criteria.

Coding Tips

•Document specific perceptual disturbances (visual, auditory, or tactile hallucinations)
•Differentiate from F11.921 which includes delirium; this code focuses on perceptual changes only

Clinical Significance

Opioid use, unspecified with intoxication with perceptual disturbance captures hallucinations or sensory distortions during opioid intoxication in a patient whose use pattern is not classified. Perceptual disturbances from opioids may include visual illusions, tactile hallucinations, or auditory distortions, and may suggest poly-substance use or high-dose exposure.

Documentation Requirements

✓Documentation of opioid intoxication
✓Specific perceptual disturbances described (type of hallucinations or sensory distortions)
✓Assessment confirming perceptual disturbances without full delirium criteria
✓Assessment for poly-substance use
✓Mental status examination
✓Treatment and monitoring plan

Commonly Confused Codes

F11.921 — Opioid use, unspecified with intoxication delirium: use when full delirium (not just perceptual changes) is present F11.920 — Opioid use, unspecified with intoxication, uncomplicated: use when no perceptual disturbances or delirium present F11.122 — Opioid abuse with intoxication with perceptual disturbance: use when abuse is documented F11.222 — Opioid dependence with intoxication with perceptual disturbance: use when dependence is documented

Code Hierarchy

└F11.922Opioid use, unspecified with intoxication with perceptual disturbance