Opioid abuse, uncomplicated
ICD-10 F11.10 is a billable code used to indicate a diagnosis of opioid abuse, uncomplicated.
Opioid abuse, classified under F11.10 in the ICD-10 coding system, refers to a pattern of opioid use that leads to significant impairment or distress but does not involve severe withdrawal symptoms or complications. This condition is characterized by the recurrent use of opioids, resulting in adverse consequences such as failure to fulfill major role obligations at work, school, or home, and continued use despite social or interpersonal problems. Patients may exhibit cravings, increased tolerance, and a desire to cut down on use without success. The diagnosis is made based on clinical assessment, including patient history and behavioral observations. Treatment typically involves counseling, behavioral therapies, and may include medications such as buprenorphine or methadone as part of a comprehensive addiction treatment program. It is crucial for healthcare providers to document the patient's history of opioid use, any previous treatment attempts, and the impact of opioid use on their daily functioning to ensure accurate coding and appropriate care.
Detailed patient history, treatment plans, and progress notes.
Patients seeking help for opioid use, those in recovery programs, and individuals experiencing relapse.
Ensure documentation reflects the complexity of the patient's addiction and any co-occurring disorders.
Comprehensive mental health assessments and treatment plans.
Patients with opioid abuse presenting with anxiety or depression.
Document any psychiatric evaluations and the relationship between opioid use and mental health.
Used when assessing a patient for opioid abuse.
Document the assessment findings and treatment recommendations.
Addiction specialists should ensure comprehensive evaluations are performed.
Opioid abuse refers to the harmful use of opioids without the presence of physical dependence or withdrawal symptoms, while opioid dependence involves a physical reliance on the substance, characterized by withdrawal symptoms when not using.
