F11.2 — Opioid dependence
Is F11.2 billable?
No — F11.2 is a non-billable header code. F11.2 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 F11.2.
Billable codes under this header
- F11.20Opioid dependence, uncomplicated
- F11.21Opioid dependence, in remission
- F11.23Opioid dependence with withdrawal
- F11.24Opioid dependence with opioid-induced mood disorder
- F11.29Opioid dependence with unspecified opioid-induced disorder
- F11.220Opioid dependence with intoxication, uncomplicated
- F11.221Opioid dependence with intoxication delirium
- F11.222Opioid dependence with intoxication with perceptual disturbance
- F11.229Opioid dependence with intoxication, unspecified
- F11.250Opioid dependence with opioid-induced psychotic disorder with delusions
- F11.251Opioid dependence with opioid-induced psychotic disorder with hallucinations
- F11.259Opioid dependence with opioid-induced psychotic disorder, unspecified
- F11.281Opioid dependence with opioid-induced sexual dysfunction
- F11.282Opioid dependence with opioid-induced sleep disorder
- F11.288Opioid dependence with other opioid-induced disorder
F11.2 at a glance
| Code | F11.2 |
|---|---|
| Description | Opioid dependence |
| 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 F11.2 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
The conditions below are not part of F11.2, but a patient may have both at the same time. When documentation supports it, F11.2 and the excluded code may both be reported.
- opioid poisoning (T40.0-T40.2-)
Excludes2 — not included here — inherited from Chapter 5
The conditions below are not part of F11.2, but a patient may have both at the same time. When documentation supports it, F11.2 and the excluded code may both be reported.
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
What codes fall under F11.2? (8)
- F11.20Opioid dependence, uncomplicated
- F11.21Opioid dependence, in remission
- F11.22Opioid dependence with intoxicationnot billable
- F11.23Opioid dependence with withdrawal
- F11.24Opioid dependence with opioid-induced mood disorder
- F11.25Opioid dependence with opioid-induced psychotic disordernot billable
- F11.28Opioid dependence with other opioid-induced disordernot billable
- F11.29Opioid dependence with unspecified opioid-induced disorder
How long has F11.2 existed?
F11.2 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.