F11.222 — Opioid dependence with intoxication with perceptual disturbance
Is F11.222 billable?
Yes — F11.222 is billable for FY2027. F11.222 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. F11.222 may be submitted for encounters from October 1, 2026 through September 30, 2027.
F11.222 at a glance
| Code | F11.222 |
|---|---|
| Description | Opioid dependence with intoxication with perceptual disturbance |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does F11.222 group to?
F11.222 sits in MDC 20 and helps define the logic of 4 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 894Alcohol, Drug Abuse or Dependence, Left AMAmedical
- 895Alcohol, Drug Abuse or Dependence with Rehabilitation Therapymedical
- 896Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCCmedical
- 897Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCCmedical
As a secondary diagnosis, F11.222 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is F11.222 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to F11.222. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Disturbance › perceptual due to › opioid intoxication › in › dependence (s)
- Disorder › opioid use › moderate or severe › with › opioid intoxication › with perceptual disturbances (of)
- Dependence › drug NEC › opioid › with › intoxication › with › perceptual disturbance (on) (syndrome)
Excludes1 — never code together — inherited from F11.2
The conditions below can never be reported together with F11.222 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from F11.22
The conditions below can never be reported together with F11.222 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 with withdrawal (F11.23)
Excludes2 — not included here — inherited from Chapter 5
The conditions below are not part of F11.222, but a patient may have both at the same time. When documentation supports it, F11.222 and the excluded code may both be reported.
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Excludes2 — not included here — inherited from F11.2
The conditions below are not part of F11.222, but a patient may have both at the same time. When documentation supports it, F11.222 and the excluded code may both be reported.
- opioid poisoning (T40.0-T40.2-)
How long has F11.222 existed?
F11.222 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.