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ICD-10 Guide
ICD-10 CodesF11.282

F11.282

Billable

Opioid dependence with opioid-induced sleep disorder

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

Code Description

ICD-10 F11.282 is a billable code used to indicate a diagnosis of opioid dependence with opioid-induced sleep disorder.

Key Diagnostic Point:

Opioid dependence is characterized by a compulsive pattern of opioid use, leading to significant impairment or distress. Patients may develop tolerance, requiring higher doses to achieve the same effect, and may experience withdrawal symptoms when not using opioids. Opioid-induced sleep disorder is a common complication, manifesting as insomnia or hypersomnia, which can exacerbate the dependence cycle. The interplay between opioid use and sleep disturbances is complex; opioids can alter sleep architecture, leading to reduced sleep quality and increased daytime sleepiness. This condition often requires a multidisciplinary approach for effective management, including behavioral therapies, medication-assisted treatment (MAT), and sleep hygiene education. Clinicians must assess both the dependence and the sleep disorder to tailor treatment plans effectively, ensuring that interventions address both aspects of the patient's health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between opioid dependence and other substance use disorders.
  • Identifying the presence of opioid-induced sleep disorder.
  • Understanding the nuances of withdrawal symptoms versus intoxication effects.
  • Navigating treatment options that may involve multiple specialties.

Audit Risk Factors

  • Inadequate documentation of opioid use history.
  • Failure to document the specific sleep disorder symptoms.
  • Misclassification of withdrawal symptoms as intoxication.
  • Lack of evidence for treatment plans addressing both dependence and sleep issues.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Comprehensive history of substance use, treatment history, and current medications.

Common Clinical Scenarios

Patients presenting with opioid use disorder and sleep complaints.

Billing Considerations

Ensure documentation reflects the severity of dependence and associated disorders.

Sleep Medicine

Documentation Requirements

Detailed sleep history, sleep study results, and treatment response.

Common Clinical Scenarios

Patients with sleep apnea or insomnia exacerbated by opioid use.

Billing Considerations

Document the impact of opioid use on sleep patterns and treatment outcomes.

Coding Guidelines

Inclusion Criteria

Use F11.282 When
  • According to ICD
  • 10 guidelines, F11
  • 282 should be used when a patient has a documented opioid dependence along with a sleep disorder directly induced by opioid use
  • Proper documentation must support the diagnosis, including clinical assessments and treatment plans

Exclusion Criteria

Do NOT use F11.282 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0031CPT Code

Mental health assessment

Clinical Scenario

Used for initial assessment of opioid dependence and sleep disorder.

Documentation Requirements

Detailed assessment notes and treatment plan.

Specialty Considerations

Addiction specialists should document the impact of sleep disorder on treatment.

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, facilitating better tracking of opioid dependence and associated complications like sleep disorders. This specificity aids in improving treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of opioid-related disorders, facilitating better tracking of opioid dependence and associated complications like sleep disorders. This specificity aids in improving treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of opioid-related disorders, facilitating better tracking of opioid dependence and associated complications like sleep disorders. This specificity aids in improving treatment outcomes and resource allocation.

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 F11.282?

Coding F11.282 accurately reflects the complexity of managing opioid dependence alongside sleep disorders, ensuring appropriate treatment and reimbursement.