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ICD-10 Guide
ICD-10 CodesF11.988

F11.988

Billable

Opioid use, unspecified with other opioid-induced disorder

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F11.988 is a billable code used to indicate a diagnosis of opioid use, unspecified with other opioid-induced disorder.

Key Diagnostic Point:

F11.988 refers to a diagnosis of opioid use disorder that is unspecified and associated with other opioid-induced disorders. This code encompasses a range of conditions resulting from the misuse of opioids, including but not limited to opioid addiction, withdrawal symptoms, and intoxication. Patients may present with various clinical manifestations, such as mood disturbances, cognitive impairment, and physical health complications. The unspecified nature of this code indicates that the specific type of opioid use disorder or the exact nature of the associated disorder is not clearly defined. Treatment typically involves a combination of pharmacotherapy, such as methadone or buprenorphine, and behavioral therapies aimed at addressing the psychological aspects of addiction. Clinicians must carefully document the patient's history, presenting symptoms, and treatment plan to ensure accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and symptoms
  • Need for comprehensive documentation of substance use history
  • Differentiation between opioid use disorder and other substance use disorders
  • Potential for co-occurring mental health disorders

Audit Risk Factors

  • Inadequate documentation of opioid use history
  • Failure to specify the type of opioid-induced disorder
  • Lack of evidence for treatment modalities used
  • Inconsistent coding across encounters

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, treatment plans, and response to interventions.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms, overdose, or seeking treatment for opioid dependence.

Billing Considerations

Documentation must clearly outline the severity of the disorder and any co-occurring conditions.

Psychiatry

Documentation Requirements

Comprehensive mental health evaluations, including assessments of mood and cognitive function.

Common Clinical Scenarios

Patients with co-occurring mental health disorders and opioid use disorder.

Billing Considerations

Attention to the interplay between opioid use and psychiatric symptoms is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use F11.988 When
  • According to the ICD
  • CM coding guidelines, F11
  • 988 should be used when the specific type of opioid use disorder is not documented
  • Coders should ensure that the documentation supports the diagnosis and that any associated disorders are also noted

Exclusion Criteria

Do NOT use F11.988 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

When a patient with opioid use disorder also seeks help for tobacco cessation.

Documentation Requirements

Document the patient's tobacco use history and cessation attempts.

Specialty Considerations

Addiction specialists should coordinate care for comprehensive treatment.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of opioid use disorders, improving the ability to track and manage these conditions. F11.988 provides flexibility for coders when the specifics of the disorder are not fully documented.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of opioid use disorders, improving the ability to track and manage these conditions. F11.988 provides flexibility for coders when the specifics of the disorder are not fully documented.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of opioid use disorders, improving the ability to track and manage these conditions. F11.988 provides flexibility for coders when the specifics of the disorder are not fully documented.

Resources

Clinical References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Coding & Billing References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Frequently Asked Questions

What should I document to support the use of F11.988?

Document the patient's opioid use history, any associated disorders, and the treatment plan. Ensure that the documentation reflects the complexity of the patient's condition.