F11.981

Billable

Opioid use, unspecified with opioid-induced sexual dysfunction

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

Difficulty with sexual function or desire that is directly caused by opioid use, such as erectile dysfunction or decreased libido.

Coding Tips

•Document the specific sexual dysfunction and confirm it is opioid-related
•Note whether the dysfunction resolves with opioid discontinuation

Clinical Significance

Opioid-induced sexual dysfunction captures a clinically significant complication that affects quality of life and treatment adherence. Sexual dysfunction is an underreported adverse effect of opioid use that may contribute to medication non-compliance in patients on long-term opioid therapy. Documenting this condition supports comprehensive care planning and reflects the true burden of illness for risk adjustment.

Documentation Requirements

✓Documentation of opioid use (specific substance if known)
✓Specific type of sexual dysfunction (erectile dysfunction, decreased libido, anorgasmia, etc.)
✓Clinical statement linking sexual dysfunction to opioid use
✓Temporal relationship between opioid use and onset of sexual dysfunction
✓Exclusion of other causes of sexual dysfunction (endocrine, vascular, psychological)

Commonly Confused Codes

N52.9 — Male erectile dysfunction, unspecified; use when erectile dysfunction is not related to opioid use F52.0 — Hypoactive sexual desire disorder; use when decreased libido is a primary disorder not substance-induced F11.982 — Opioid use, unspecified with opioid-induced sleep disorder; different opioid-induced complication F11.188 — Opioid abuse with other opioid-induced disorder; use when abuse pattern (not unspecified use) is documented

Code Hierarchy

└F11.981Opioid use, unspecified with opioid-induced sexual dysfunction