F11.13 — Opioid abuse with withdrawal

BillableCC

Is F11.13 billable?

Yes — F11.13 is billable for FY2027. F11.13 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. F11.13 may be submitted for encounters from October 1, 2026 through September 30, 2027.

F11.13 at a glance

Code	F11.13
Description	Opioid abuse with withdrawal
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does F11.13 group to?

F11.13 sits in MDC 15 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

791Prematurity with Major Problemsmedical

As a secondary diagnosis, F11.13 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is F11.13 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to F11.13. They show the wording a clinician may have documented, which often differs from the Tabular description.

Abuse › drug NEC › opioid › with › withdrawal

Excludes1 — never code together — inherited from F11.1

The conditions below can never be reported together with F11.13 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

opioid dependence (F11.2-)
opioid use, unspecified (F11.9-)

Excludes2 — not included here — inherited from Chapter 5

The conditions below are not part of F11.13, but a patient may have both at the same time. When documentation supports it, F11.13 and the excluded code may both be reported.

symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

How long has F11.13 existed?

F11.13 first appears in FY2021 (FY2020 is not available, so it may have appeared then).

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.