ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesF11.181

F11.181

Billable

Opioid abuse with opioid-induced sexual dysfunction

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

Code Description

ICD-10 F11.181 is a billable code used to indicate a diagnosis of opioid abuse with opioid-induced sexual dysfunction.

Key Diagnostic Point:

Opioid abuse is characterized by a problematic pattern of opioid use leading to significant impairment or distress. This includes the development of tolerance, withdrawal symptoms, and continued use despite adverse consequences. Opioid-induced sexual dysfunction is a common complication of opioid abuse, manifesting as decreased libido, erectile dysfunction, or other sexual performance issues. The pathophysiology behind this dysfunction is linked to the effects of opioids on the central nervous system, which can disrupt hormonal balance and neurotransmitter function. Clinicians must assess the severity of opioid use and its impact on sexual health, as these factors can significantly affect treatment outcomes. Treatment may involve a combination of substance use disorder therapies, including behavioral interventions, medication-assisted treatment (MAT), and addressing sexual health concerns through counseling or pharmacotherapy. Accurate coding of F11.181 is essential for appropriate treatment planning and reimbursement, as it reflects both the substance use disorder and its specific complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between opioid abuse and dependence
  • Identifying and documenting sexual dysfunction symptoms
  • Understanding the interplay between substance use and mental health
  • Navigating treatment options and their documentation

Audit Risk Factors

  • Inadequate documentation of opioid use history
  • Failure to document specific sexual dysfunction symptoms
  • Misclassification of opioid use disorder severity
  • Lack of treatment plan documentation

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Comprehensive assessment of substance use history and sexual health impact.

Common Clinical Scenarios

Patients presenting with anxiety or depression alongside opioid use.

Billing Considerations

Consideration of co-occurring mental health disorders and their treatment.

Urology

Documentation Requirements

Detailed evaluation of sexual dysfunction symptoms and their correlation with opioid use.

Common Clinical Scenarios

Men presenting with erectile dysfunction who have a history of opioid use.

Billing Considerations

Assessment of hormonal levels and potential need for testosterone therapy.

Coding Guidelines

Inclusion Criteria

Use F11.181 When
  • According to ICD
  • 10 guidelines, F11
  • 181 should be used when there is clear documentation of opioid abuse and associated sexual dysfunction
  • It is important to ensure that the diagnosis is supported by clinical findings and treatment plans

Exclusion Criteria

Do NOT use F11.181 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 smoking cessation.

Documentation Requirements

Document the patient's substance use history and counseling provided.

Specialty Considerations

Consider the impact of tobacco use on overall health and treatment outcomes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of opioid-related disorders, including the ability to capture the nuances of opioid-induced sexual dysfunction, which was less clearly defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of opioid-related disorders, including the ability to capture the nuances of opioid-induced sexual dysfunction, which was less clearly defined in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of opioid-related disorders, including the ability to capture the nuances of opioid-induced sexual dysfunction, which was less clearly defined in ICD-9.

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 is the significance of coding F11.181?

Coding F11.181 is crucial for accurately reflecting the patient's condition, ensuring appropriate treatment planning, and facilitating reimbursement for services related to both opioid abuse and sexual dysfunction.