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F11.94

Billable

Opioid use, unspecified with opioid-induced mood disorder

HCC Category Mapping

V28HCC 137Drug Use Disorder/Substance Use Disorder, Moderate/Severe
0.358
V24HCC 55Drug/Alcohol Dependence
0.334
ESRDHCC 55Drug/Alcohol Dependence
0.000

What This Code Means

Depression, anxiety, or other mood disturbances that are directly caused by opioid use rather than a separate mood disorder.

Coding Tips

  • Document that the mood disorder is opioid-induced and not a pre-existing condition
  • Specify the type of mood disorder if documented (depressive, anxiety, etc.)

Clinical Significance

Opioid use, unspecified with opioid-induced mood disorder captures mood disturbances directly caused by opioid use in a patient whose use pattern is not classified. Opioid-induced mood changes, particularly depression, are clinically important because they require treatment of the underlying opioid use rather than standard antidepressant therapy alone.

Documentation Requirements

  • Documentation of mood disorder symptoms (depression, mania, irritability, anhedonia)
  • Provider statement that the mood disorder is opioid-induced
  • Temporal relationship between opioid use and mood symptom onset
  • Assessment distinguishing from primary mood disorders
  • Documentation of opioid use (though pattern not classified)
  • Treatment plan addressing both opioid use and mood symptoms

Commonly Confused Codes

Code Hierarchy

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