Opioid dependence with intoxication delirium
ICD-10 F11.221 is a billable code used to indicate a diagnosis of opioid dependence with intoxication delirium.
Opioid dependence with intoxication delirium is characterized by a compulsive pattern of opioid use, leading to significant impairment or distress. This condition arises when an individual develops a tolerance to opioids, requiring increased doses to achieve the desired effect. Intoxication delirium occurs when the individual experiences acute confusion, altered consciousness, and cognitive disturbances due to the effects of opioids. Symptoms may include disorientation, hallucinations, and severe agitation. The diagnosis necessitates a thorough assessment of the patient's history, including the duration and quantity of opioid use, as well as any co-occurring mental health disorders. Treatment typically involves a combination of pharmacological interventions, such as opioid agonists or antagonists, and psychosocial support, including counseling and rehabilitation programs. The complexity of managing opioid dependence with intoxication delirium lies in the need for a multidisciplinary approach to address both the physiological and psychological aspects of addiction.
Detailed history of substance use, treatment history, and mental health evaluation.
Patients presenting with acute intoxication, withdrawal symptoms, or complications from opioid use.
Documentation must clearly differentiate between intoxication and withdrawal to ensure accurate coding.
Comprehensive mental health assessment, including cognitive function tests and history of psychiatric disorders.
Patients with opioid dependence presenting with psychotic symptoms or severe mood disturbances.
Psychiatric evaluations must include assessments of delirium and its impact on treatment.
Used in conjunction with F11.221 for comprehensive treatment.
Document the nature of counseling and its relation to opioid dependence.
Addiction specialists should ensure that counseling sessions are tailored to the patient's specific needs.
Opioid dependence is a specific type of opioid use disorder characterized by physical dependence on opioids, while opioid use disorder encompasses a broader range of behaviors and symptoms related to opioid misuse.
