Opioid dependence with other opioid-induced disorder
ICD-10 F11.28 is a billable code used to indicate a diagnosis of opioid dependence with other opioid-induced disorder.
Opioid dependence with other opioid-induced disorder refers to a condition where an individual exhibits a compulsive pattern of opioid use, leading to significant impairment or distress, alongside the presence of other disorders induced by opioid use. These disorders may include opioid-induced mood disorders, anxiety disorders, or other mental health issues that arise as a direct consequence of opioid consumption. The diagnosis of opioid dependence is characterized by a strong desire to use opioids, difficulties in controlling use, and the development of tolerance and withdrawal symptoms. The presence of other opioid-induced disorders complicates the clinical picture, necessitating a comprehensive treatment approach that addresses both the dependence and the co-occurring disorders. Treatment often involves a combination of pharmacotherapy, such as methadone or buprenorphine, and psychosocial interventions, including cognitive-behavioral therapy and support groups. Accurate coding is essential for appropriate treatment planning and reimbursement, as well as for tracking the prevalence of opioid-related disorders in the healthcare system.
Detailed history of substance use, treatment history, and mental health evaluations.
Patients presenting with withdrawal symptoms, overdose, or co-occurring mental health disorders.
Consideration of the patient's entire substance use history and any previous treatment attempts.
Comprehensive psychiatric evaluation, including assessment of mood and anxiety disorders.
Patients with opioid dependence presenting with depression or anxiety symptoms.
Need for collaboration with addiction specialists for integrated care.
Used in conjunction with F11.28 for comprehensive treatment planning.
Documentation of counseling sessions and treatment goals.
Addiction specialists should document the integration of behavioral health into treatment.
Opioid dependence refers specifically to the physiological adaptation to opioids, characterized by tolerance and withdrawal symptoms, while opioid use disorder encompasses a broader range of behavioral and psychological issues related to opioid use, including dependence.
