F11.950

Billable

Opioid use, unspecified with opioid-induced psychotic disorder with delusions

HCC Category Mapping

V28HCC 135 — Drug/Alcohol Psychosis

0.000

V24HCC 54 — Drug/Alcohol Psychosis

0.434

ESRDHCC 54 — Drug/Alcohol Psychosis

0.000

What This Code Means

False beliefs or delusions that occur as a direct result of opioid use, such as believing someone is trying to harm them.

Coding Tips

•Document the specific delusions present and their temporal relationship to opioid use
•Ensure documentation clarifies this is opioid-induced, not a primary psychotic disorder

Clinical Significance

Opioid use, unspecified with opioid-induced psychotic disorder with delusions indicates opioid use is causing fixed false beliefs in a patient whose use pattern is not classified. This severe psychiatric complication requires urgent evaluation, differentiation from primary psychotic disorders, and integrated treatment addressing both substance use and psychosis.

Documentation Requirements

✓Documentation of specific delusions (paranoid, grandiose, persecutory, somatic)
✓Provider statement that delusions are opioid-induced
✓Temporal relationship between opioid use and delusional onset
✓Mental status examination documenting delusional content and thought process
✓Assessment ruling out schizophrenia, schizoaffective disorder, and other primary psychotic disorders
✓Documentation of opioid use (though pattern not classified)
✓Safety assessment and treatment plan

Commonly Confused Codes

F11.951 — Opioid use, unspecified with psychotic disorder with hallucinations: use when hallucinations (not delusions) are present F11.150 — Opioid abuse with psychotic disorder with delusions: use when abuse is documented F11.250 — Opioid dependence with psychotic disorder with delusions: use when dependence is documented F22 — Delusional disorder: use when delusions are NOT substance-induced

Code Hierarchy

└F11.950Opioid use, unspecified with opioid-induced psychotic disorder with delusions