Opioid dependence, in remission
ICD-10 F11.21 is a billable code used to indicate a diagnosis of opioid dependence, in remission.
Opioid dependence, in remission, refers to a state where an individual has previously met the criteria for opioid dependence but is currently not experiencing any symptoms of the disorder. This condition is characterized by a significant reduction or complete cessation of opioid use, and the individual may have engaged in treatment programs aimed at recovery. The remission can be classified as either partial or full, depending on the presence of any residual symptoms or cravings. Treatment often involves a combination of behavioral therapies, counseling, and possibly medication-assisted treatment (MAT) such as buprenorphine or methadone. It is essential to monitor the individual for any signs of relapse, as the risk remains elevated even in remission. The diagnosis requires careful assessment and documentation of the individual's history of opioid use, treatment interventions, and current status regarding opioid use and dependence symptoms.
Detailed treatment history, current status, and any ongoing therapies.
Patients transitioning from active opioid use to remission, those in MAT programs.
Ensure clear documentation of remission status and any ongoing support or therapy.
Mental health evaluations, history of substance use, and treatment plans.
Patients with co-occurring mental health disorders and opioid dependence.
Document any psychological assessments and their relation to opioid use.
Used when a patient is receiving MAT for opioid dependence.
Document the type of medication, dosage, and treatment plan.
Addiction specialists should ensure comprehensive treatment records.
In remission means that the individual has previously met the criteria for opioid dependence but is currently not experiencing any symptoms or cravings associated with the disorder.
