F11.929

Billable

Opioid use, unspecified with intoxication, unspecified

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 with unspecified mental or behavioral symptoms when the specific type of intoxication effect is not documented or unclear.

Coding Tips

•Use this code only when the specific intoxication manifestation cannot be determined from documentation
•Review clinical notes to see if F11.921 or F11.922 would be more specific

Clinical Significance

Opioid use, unspecified with intoxication, unspecified is a doubly unspecified code used when both the use pattern and the intoxication type are unclear. This is often used in emergency settings where limited history is available. It should be updated to a more specific code when additional clinical information becomes available.

Documentation Requirements

✓Documentation of opioid intoxication
✓Clinical signs present (miosis, sedation, respiratory depression)
✓Statement that neither the use pattern nor intoxication type can be further specified
✓Emergency assessment and stabilization documentation

Commonly Confused Codes

F11.920 — Opioid use, unspecified with intoxication, uncomplicated: use when it is clear no complications are present F11.921 — Opioid use, unspecified with intoxication delirium: use when delirium is present F11.129 — Opioid abuse with intoxication, unspecified: use when abuse is documented F11.229 — Opioid dependence with intoxication, unspecified: use when dependence is documented

Code Hierarchy

└F11.929Opioid use, unspecified with intoxication, unspecified