Opioid dependence
ICD-10 F11.2 is a billable code used to indicate a diagnosis of opioid dependence.
Opioid dependence is characterized by a compulsive pattern of opioid use, leading to significant impairment or distress. This condition is classified under substance use disorders and is marked by a strong craving for opioids, tolerance to their effects, and withdrawal symptoms upon cessation. Patients may exhibit behaviors such as continued use despite adverse consequences, neglect of responsibilities, and increased time spent obtaining or using opioids. The clinical presentation can vary widely, with some individuals experiencing severe withdrawal symptoms, including anxiety, insomnia, muscle aches, and gastrointestinal distress, while others may present with chronic pain management issues. Treatment often involves a combination of pharmacotherapy, such as methadone or buprenorphine, and behavioral therapies. The goal is to reduce opioid use, manage withdrawal symptoms, and support recovery. Accurate diagnosis and coding are crucial for effective treatment planning and reimbursement.
Thorough documentation of substance use history, treatment plans, and response to therapy.
Patients presenting with withdrawal symptoms, those seeking detoxification, and individuals in long-term maintenance therapy.
Consideration of co-occurring mental health disorders and the need for integrated treatment approaches.
Detailed psychiatric evaluations, including mental status exams and risk assessments.
Patients with opioid dependence presenting with comorbid psychiatric conditions such as depression or anxiety.
Documentation of any psychiatric interventions and their impact on substance use.
Used in outpatient settings for patients undergoing opioid dependence treatment.
Document the patient's treatment plan, dosage, and response to therapy.
Addiction specialists should ensure compliance with federal regulations regarding methadone treatment.
Opioid dependence (F11.2) involves a compulsive pattern of use leading to tolerance and withdrawal, while opioid abuse (F11.1) refers to the harmful use of opioids without meeting the criteria for dependence.
