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ICD-10 Guide
ICD-10 CodesF11.182

F11.182

Billable

Opioid abuse with opioid-induced sleep disorder

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

Code Description

ICD-10 F11.182 is a billable code used to indicate a diagnosis of opioid abuse with opioid-induced sleep disorder.

Key Diagnostic Point:

Opioid abuse with opioid-induced sleep disorder refers to a condition where an individual has a problematic pattern of opioid use leading to significant impairment or distress, coupled with sleep disturbances directly attributable to opioid use. Opioids, including prescription medications and illicit drugs, can lead to physical dependence and addiction, characterized by compulsive drug-seeking behavior and use despite harmful consequences. The sleep disorder may manifest as insomnia, hypersomnia, or other sleep-related issues, which can exacerbate the individual's overall health and complicate treatment. The diagnosis requires careful assessment of the patient's substance use history, sleep patterns, and the impact of opioids on their daily functioning. Treatment typically involves a combination of behavioral therapies, medication-assisted treatment (MAT), and support programs aimed at addressing both the substance use disorder and the associated sleep disturbances.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between opioid-induced sleep disorder and other sleep disorders.
  • Documenting the severity and duration of opioid abuse.
  • Understanding the interplay between substance use and sleep disorders.
  • Navigating the nuances of co-occurring disorders.

Audit Risk Factors

  • Inadequate documentation of the relationship between opioid use and sleep disorder.
  • Failure to document the severity of opioid abuse.
  • Lack of comprehensive treatment plans in the medical record.
  • Inconsistent coding of related diagnoses.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, treatment plans, and progress notes.

Common Clinical Scenarios

Patients presenting with anxiety, depression, or sleep issues related to opioid use.

Billing Considerations

Consideration of comorbid mental health disorders and their impact on treatment.

Addiction Medicine

Documentation Requirements

Comprehensive substance use history, treatment adherence, and response to interventions.

Common Clinical Scenarios

Patients undergoing detoxification or maintenance therapy for opioid use disorder.

Billing Considerations

Integration of behavioral health interventions with pharmacotherapy.

Coding Guidelines

Inclusion Criteria

Use F11.182 When
  • According to ICD
  • 10 guidelines, F11
  • 182 should be used when the patient has a documented history of opioid abuse and exhibits sleep disturbances directly related to opioid use
  • It is important to ensure that the diagnosis is supported by clinical evidence and that other potential causes of sleep disorders are ruled out

Exclusion Criteria

Do NOT use F11.182 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

Used for patients in addiction treatment programs.

Documentation Requirements

Document the counseling session details and patient progress.

Specialty Considerations

Consider the integration of tobacco cessation in opioid treatment plans.

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, improving the ability to track and treat these conditions effectively. F11.182 provides a clear framework for identifying patients with both opioid abuse and sleep disorders, facilitating targeted interventions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of opioid-related disorders, improving the ability to track and treat these conditions effectively. F11.182 provides a clear framework for identifying patients with both opioid abuse and sleep disorders, facilitating targeted interventions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of opioid-related disorders, improving the ability to track and treat these conditions effectively. F11.182 provides a clear framework for identifying patients with both opioid abuse and sleep disorders, facilitating targeted interventions.

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 difference between opioid abuse and opioid dependence?

Opioid abuse refers to the harmful use of opioids without meeting the criteria for dependence, while opioid dependence includes a physical and psychological reliance on the substance, characterized by tolerance and withdrawal symptoms.