F11.1 — Opioid abuse
Is F11.1 billable?
No — F11.1 is a non-billable header code. F11.1 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 15 billable codes beneath F11.1.
Billable codes under this header
- F11.10Opioid abuse, uncomplicated
- F11.11Opioid abuse, in remission
- F11.13Opioid abuse with withdrawal
- F11.14Opioid abuse with opioid-induced mood disorder
- F11.19Opioid abuse with unspecified opioid-induced disorder
- F11.120Opioid abuse with intoxication, uncomplicated
- F11.121Opioid abuse with intoxication delirium
- F11.122Opioid abuse with intoxication with perceptual disturbance
- F11.129Opioid abuse with intoxication, unspecified
- F11.150Opioid abuse with opioid-induced psychotic disorder with delusions
- F11.151Opioid abuse with opioid-induced psychotic disorder with hallucinations
- F11.159Opioid abuse with opioid-induced psychotic disorder, unspecified
- F11.181Opioid abuse with opioid-induced sexual dysfunction
- F11.182Opioid abuse with opioid-induced sleep disorder
- F11.188Opioid abuse with other opioid-induced disorder
F11.1 at a glance
| Code | F11.1 |
|---|---|
| Description | Opioid abuse |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with F11.1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 5
The conditions below are not part of F11.1, but a patient may have both at the same time. When documentation supports it, F11.1 and the excluded code may both be reported.
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
What codes fall under F11.1? (8)
- F11.10Opioid abuse, uncomplicated
- F11.11Opioid abuse, in remission
- F11.12Opioid abuse with intoxicationnot billable
- F11.13Opioid abuse with withdrawal
- F11.14Opioid abuse with opioid-induced mood disorder
- F11.15Opioid abuse with opioid-induced psychotic disordernot billable
- F11.18Opioid abuse with other opioid-induced disordernot billable
- F11.19Opioid abuse with unspecified opioid-induced disorder
How long has F11.1 existed?
F11.1 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.