Opioid use, unspecified, in remission
ICD-10 F11.91 is a billable code used to indicate a diagnosis of opioid use, unspecified, in remission.
F11.91 refers to a diagnosis of opioid use disorder that is currently in remission. This condition is characterized by a problematic pattern of opioid use leading to significant impairment or distress, but the individual is not currently experiencing any symptoms of withdrawal or intoxication. Remission can be classified as either partial or full, depending on the absence of symptoms. In this case, 'unspecified' indicates that the specific details of the opioid use disorder are not documented, which may include the type of opioid used or the severity of the disorder. Treatment for opioid use disorder often involves a combination of medication-assisted treatment (MAT), counseling, and support groups. The goal is to help individuals achieve and maintain remission, reducing the risk of relapse and improving overall quality of life. Clinicians must document the patient's history of opioid use, any previous treatment interventions, and the current status of their remission to ensure accurate coding and appropriate care.
Detailed history of substance use, treatment history, and current status of remission.
Patients transitioning from active treatment to remission, follow-up visits for relapse prevention.
Ensure clear documentation of the patient's progress and any ongoing support or treatment plans.
Comprehensive mental health evaluation, including substance use history and current mental health status.
Patients with co-occurring mental health disorders and opioid use disorder in remission.
Document any psychiatric interventions or therapies that may impact the patient's remission status.
Used during follow-up visits for patients in remission.
Document the assessment findings and any changes in treatment plans.
Addiction specialists should focus on substance use history and recovery progress.
In remission indicates that the individual has not met the criteria for opioid use disorder for a specified period, meaning they are not currently experiencing withdrawal or intoxication symptoms.
