Opioid dependence, uncomplicated
ICD-10 F11.20 is a billable code used to indicate a diagnosis of opioid dependence, uncomplicated.
Opioid dependence, uncomplicated, refers to a condition characterized by a compulsive pattern of opioid use, leading to significant impairment or distress. This diagnosis is made when an individual exhibits a strong desire or craving for opioids, develops tolerance (requiring increased amounts to achieve the desired effect), and experiences withdrawal symptoms when not using the substance. Unlike complicated opioid dependence, which may involve additional factors such as co-occurring mental health disorders or severe withdrawal symptoms, uncomplicated opioid dependence does not present with these complexities. Patients may use opioids for legitimate medical reasons, such as pain management, but may develop dependence over time. Treatment typically involves behavioral therapies, counseling, and may include medications such as buprenorphine or methadone as part of a comprehensive treatment plan. Understanding the nuances of opioid dependence is crucial for effective management and coding, as it impacts treatment approaches and healthcare resource allocation.
Comprehensive assessment of substance use history, treatment plans, and progress notes.
Patients presenting with opioid use for chronic pain management who develop dependence.
Documentation must clearly outline the treatment approach and patient engagement in therapy.
Detailed mental health evaluations, including any co-occurring disorders.
Patients with opioid dependence who also have anxiety or depression.
Mental health assessments must be thorough to support the diagnosis and treatment plan.
Used in conjunction with F11.20 for comprehensive treatment.
Document the nature of counseling and patient engagement.
Addiction specialists should ensure thorough documentation of treatment progress.
Opioid dependence is a specific diagnosis indicating a compulsive pattern of use, while opioid use disorder is a broader term that encompasses various levels of severity, including dependence.
