What is the ICD-10 code for severe opioid use disorder?

The ICD-10 code for severe opioid use disorder is F11.20, indicating opioid dependence, uncomplicated.

How do you document severe opioid use disorder?

Document severe opioid use disorder by listing ≥6 DSM-5 criteria with specific examples and dates.

ICD-10 Coding for Severe Opioid Use Disorder(F11.20, F11.10, F11.23)

Save

Learn about the ICD-10 coding for severe opioid use disorder, including documentation requirements and common pitfalls.

Also known as:

Severe OUDOpioid Dependence

Related ICD-10 Code Ranges

Complete code families applicable to Severe Opioid Use Disorder

F01-F99Primary Range

Mental, Behavioral and Neurodevelopmental disorders

→

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
F11.20	Opioid dependence, uncomplicated	Use when the patient meets the criteria for severe opioid use disorder, with documented dependence.	Documentation of ≥6 DSM-5 criteria Urine drug screen positive for non-prescribed opioids
Z79.891	Long-term (current) use of opiate analgesic	Use for patients on long-term opioid therapy without a diagnosis of opioid use disorder.	Documentation of opioid use as prescribed without signs of dependence

Primary ICD-10-CM Codes

Opioid dependence, uncomplicated

F11.20Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Opioid abuse, uncomplicatedF11.10

Opioid dependence, uncomplicatedF11.20

Documentation & Coding Risks

Avoid these common issues when documenting Severe Opioid Use Disorder.

Vague documentation of opioid use

Impact

Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.

Mitigation

Use specific DSM-5 criteria in documentation, Provide detailed examples

Using F11.90 (unspecified) when severity is documented

Impact

Reimbursement: May lead to incorrect reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on the severity of opioid use disorder.

Mitigation

Query provider to specify severity and use F11.20 if ≥6 criteria are met.

Incorrect coding of opioid dependence

Impact

Using F11.90 when severity is documented.

Mitigation

Ensure documentation specifies DSM-5 criteria met.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with F11.20.

Primary Code

F11.20

Opioid dependence, uncomplicated

Quick Navigation

ICD-10 codes7

Coding risks3

FAQs2

ICD-10 Coding for Severe Opioid Use Disorder(F11.20, F11.10, F11.23)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for severe opioid use disorder?

How do you document severe opioid use disorder?

Related condition guides