Opioid related disorders
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F11 is a billable code used to indicate a diagnosis of opioid related disorders.
Opioid related disorders encompass a range of conditions associated with the misuse of opioids, including prescription pain relievers, heroin, and synthetic opioids such as fentanyl. These disorders can manifest as opioid use disorder (OUD), characterized by a problematic pattern of opioid use leading to significant impairment or distress. Symptoms may include cravings, tolerance, withdrawal symptoms, and continued use despite negative consequences. Withdrawal symptoms can range from mild (e.g., anxiety, insomnia) to severe (e.g., nausea, vomiting, muscle pain). Intoxication can lead to respiratory depression, sedation, and overdose, which can be fatal. Treatment options include medication-assisted treatment (MAT) with buprenorphine or methadone, behavioral therapies, and support groups. Accurate coding is essential for appropriate treatment reimbursement and tracking of opioid-related health issues.
Detailed patient history, including substance use patterns and treatment response.
Patients presenting with overdose, withdrawal symptoms, or seeking treatment for opioid dependence.
Documentation must clearly differentiate between opioid use disorder and other substance use disorders.
Comprehensive mental health evaluation, including assessment of co-occurring disorders.
Patients with opioid use disorder presenting with anxiety, depression, or other mental health issues.
Consideration of dual diagnosis and the impact of opioid use on mental health.
Used in conjunction with opioid use disorder treatment to address smoking cessation.
Document the patient's smoking history and cessation attempts.
Consider the impact of tobacco use on overall health and treatment outcomes.
Opioid use disorder is a broader term that encompasses a range of problematic behaviors related to opioid use, while opioid dependence specifically refers to the physiological adaptation to opioids, leading to withdrawal symptoms when not using.
