F11.951 — Opioid use, unspecified with opioid-induced psychotic disorder with hallucinations
Is F11.951 billable?
Yes, but F11.951 is an unspecified code. F11.951 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, F11.951 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting F11.951 — the more specific alternatives are listed below.
F11.951 at a glance
| Code | F11.951 |
|---|---|
| Description | Opioid use, unspecified with opioid-induced psychotic disorder with hallucinations |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does F11.951 group to?
F11.951 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, F11.951 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is F11.951 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to F11.951. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Hallucinosis › drug-induced › opioid (chronic)
- Disorder › opioid use › with › opioid-induced psychotic disorder › with › hallucinations (of)
Excludes1 — never code together — inherited from F11.9
The conditions below can never be reported together with F11.951 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 F11.951, but a patient may have both at the same time. When documentation supports it, F11.951 and the excluded code may both be reported.
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
How long has F11.951 existed?
F11.951 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.