Skip to content
HCC Buddy home

F11.982 ICD-10-CM Code: Opioid use, unspecified with opioid-induced sleep disorder

F11.982 maps to CMS-HCC V28 137. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · free HCC coding tools

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

Code lookupF11.982

FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)

F11.982

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Opioid use, unspecified with opioid-induced sleep disorder

Sleep problems such as insomnia, excessive sleepiness, or abnormal sleep patterns that are directly caused by opioid use.

Buddy the Bee presenting code insight

Buddy Insight

Opioid-induced sleep disorder reflects a common but clinically important complication that significantly impacts patient recovery and overall health outcomes.

OverviewRisk ModelsCode BookDocumentationAuditNotesEdition comparison

CMS-HCC V28

HCC 137

Code-level coefficient reference

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 082

Code-level coefficient reference

ESRD/PACE

HCC 55

Code-level coefficient reference

RXHCC

N/A

—

Not mapped

Code Book Path

Official
F11.9Opioid use, unspecifiedF11.98Opioid use, unspecified with other specified opioid-induced disorderF11.982Opioid use, unspecified with opioid-induced sleep disorder

Inclusion Terms

Official
  • Opioid induced sleep disorder, without use disorder

Excludes 2

Official
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99

Related Codes

Official
F11.981Opioid use, unspecified with opioid-induced sexual dysfunctionF11.988Opioid use, unspecified with other opioid-induced disorder

Includes

Official
  • disorders of psychological developmentInherited from F01-F99

Excludes 1

Official
  • opioid abuse (F11.1-)Inherited from F11.9
  • opioid dependence (F11.2-)Inherited from F11.9

Code First

Official

No Code First sequencing instructions are included in this display for F11.982. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F11.982. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F11.982. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Documentation of opioid use and the specific opioid if known
Description of the specific sleep disturbance (insomnia, hypersomnia, parasomnia, sleep apnea)
Clinical statement attributing the sleep disorder to opioid use
Whether the sleep disorder occurs during active use or during withdrawal

MEAT Support

HCC Buddy guidance
Documentation of opioid use and the specific opioid if known
Description of the specific sleep disturbance (insomnia, hypersomnia, parasomnia, sleep apnea)
Clinical statement attributing the sleep disorder to opioid use
Whether the sleep disorder occurs during active use or during withdrawal

Audit Caution

HCC Buddy guidance
Coding sleep complaints as primary sleep disorders when opioid use is the documented cause
Failing to distinguish between sleep disturbance during active opioid use versus withdrawal-phase insomnia
Using this code when the patient has opioid dependence (should use F11.282) or abuse (F11.182)
Not documenting the specific type of sleep disturbance, leaving the record insufficiently detailed

Common Mistakes

HCC Buddy guidance
G47.9 — Sleep disorder, unspecified; use when sleep disorder is not substance-induced
G47.00 — Insomnia, unspecified; use for primary insomnia not related to substance use
F11.981 — Opioid use, unspecified with opioid-induced sexual dysfunction; different opioid complication
F11.282 — Opioid dependence with opioid-induced sleep disorder; use when dependence is documented

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is F11.982 an HCC code?

Yes. F11.982 (Opioid use, unspecified with opioid-induced sleep disorder) maps to HCC 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.424. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: F11.982 is billable and maps to V28 HCC 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code
F11.982
Description
Opioid use, unspecified with opioid-induced sleep disorder
HCC (V28)
HCC 137 — Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications
RAF reference coefficient
0.424
Billable
Yes
Payment year
2026

HCC Category Mapping

V28HCC 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications
0.424
ESRDHCC 55, Substance Use Disorder/Moderate/Severe/Substance Use with Complications
Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work F11.982 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F11.982

For F11.982, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

  • MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
  • EEvaluate: test results, medication response, or physical findings reviewed by the provider
  • AAssess: explicit mention in the assessment or plan with acknowledgment of status
  • TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Coder workflow notes

Get the V28 mapping + MEAT cheat sheet

One printable reference: check representative V28 mappings and the documentation reminders your note needs. Free, no card.

Free PDF. No card. Unsubscribe anytime.

What This Code Means

F11.982 is the ICD-10-CM diagnosis code for opioid use, unspecified with opioid-induced sleep disorder. Sleep problems such as insomnia, excessive sleepiness, or abnormal sleep patterns that are directly caused by opioid use. F11.982 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental and behavioral disorders due to psychoactive substance use (f10-f19).

Under the CMS-HCC V28 risk adjustment model, F11.982 maps to Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications (HCC 137) with a source-labeled community, non-dual, aged reference coefficient of 0.424. No V24 mapping is shown for F11.982; use the applicable model and payment year when reviewing the V28 mapping. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Document the specific sleep disturbance (insomnia, hypersomnia, parasomnia, etc.). For F11.982, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F11.982 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • •Document the specific sleep disturbance (insomnia, hypersomnia, parasomnia, etc.)
  • •Clarify whether sleep problems occur during use or withdrawal phase

Clinical Significance

Opioid-induced sleep disorder reflects a common but clinically important complication that significantly impacts patient recovery and overall health outcomes. Sleep disruption from opioid use — including insomnia, hypersomnia, and central sleep apnea — contributes to increased morbidity and complicates addiction treatment. Capturing this diagnosis is essential for comprehensive risk profiling of patients with opioid use disorders.

Documentation Requirements

  • ✓Documentation of opioid use and the specific opioid if known
  • ✓Description of the specific sleep disturbance (insomnia, hypersomnia, parasomnia, sleep apnea)
  • ✓Clinical statement attributing the sleep disorder to opioid use
  • ✓Whether the sleep disorder occurs during active use or during withdrawal
  • ✓Impact on daily functioning and any sleep study results if available

Commonly Confused Codes

  • •G47.9: Sleep disorder, unspecified; use when sleep disorder is not substance-induced
  • •G47.00: Insomnia, unspecified; use for primary insomnia not related to substance use
  • •F11.981: Opioid use, unspecified with opioid-induced sexual dysfunction; different opioid complication
  • •F11.282: Opioid dependence with opioid-induced sleep disorder; use when dependence is documented

Child Codes

F11.981Opioid use, unspecified with opioid-induced sexual dysfunction
HCC 137
F11.982Opioid use, unspecified with opioid-induced sleep disorder
HCC 137
F11.988Opioid use, unspecified with other opioid-induced disorder
HCC 137

Code Hierarchy

└F11Opioid related disorders└F11.9Opioid use, unspecified└F11.98Opioid use, unspecified with other specified opioid-induced disorder└F11.982Opioid use, unspecified with opioid-induced sleep disorder
└F11.982Opioid use, unspecified with opioid-induced sleep disorder

For F11.982, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

F11.982 maps to CMS-HCC V28 category 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications. See the ICD-10 to HCC mapping hub for how the V28 crosswalk works. The mapping identifies a payment HCC category for F11.982. Review its source-labeled HCC coefficient above, check the RAF Calculator with complete member context for CMS-HCC V28 PY2026, and confirm the documentation the chart needs before the code is submitted. HCC Buddy shows no RAF score unless every required source and calculation check passes.

Work F11.982 in HCC Buddy

Open F11.982 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.

Open in Code BookOpen in EncoderStart Pro