Opioid use, unspecified, uncomplicated
ICD-10 F11.90 is a billable code used to indicate a diagnosis of opioid use, unspecified, uncomplicated.
F11.90 refers to opioid use that is unspecified and uncomplicated, indicating a diagnosis of opioid use disorder without any associated complications such as withdrawal or intoxication. This code is used when a patient has a pattern of opioid use that leads to significant impairment or distress but does not meet the criteria for a more severe diagnosis. Opioid use disorder is characterized by a strong desire to use opioids, difficulty controlling use, and continued use despite harmful consequences. The condition can arise from both prescription medications and illicit drugs. Treatment options may include behavioral therapies, counseling, and medication-assisted treatment (MAT) with buprenorphine or methadone. Accurate coding is essential for appropriate treatment planning and reimbursement, as well as for tracking the prevalence of opioid use disorders in the population.
Detailed history of substance use, treatment history, and any co-occurring disorders.
Patients seeking help for opioid use, those in recovery programs, and individuals presenting with withdrawal symptoms.
Ensure that all treatment modalities are documented, including counseling and medication-assisted treatment.
Comprehensive mental health evaluation, including assessment of substance use and any psychiatric comorbidities.
Patients with opioid use disorder presenting with anxiety or depression.
Document any psychiatric evaluations and treatment plans that address both substance use and mental health.
Used when providing counseling for opioid use disorder.
Document the nature of counseling and any treatment goals.
Addiction specialists should ensure comprehensive treatment plans are documented.
F11.90 indicates opioid use disorder that is unspecified and uncomplicated, meaning the patient is experiencing issues related to opioid use but does not have withdrawal or intoxication symptoms.
Use F11.90 when a patient presents with a pattern of opioid use that leads to impairment or distress but does not meet the criteria for more severe opioid use disorders.
