F11.1
F11.1: Opioid abuse
Non-billable headerICD-10-CM
F11.1 is a non-billable header ICD-10-CM code for opioid abuse. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with F11.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead F11.1
8 child codes. Green means billable.
- F11.10Opioid abuse, uncomplicated
- F11.11Opioid abuse, in remission
- F11.12Opioid abuse with intoxication
- F11.13Opioid abuse with withdrawal
- F11.14Opioid abuse with opioid-induced mood disorder
- F11.15Opioid abuse with opioid-induced psychotic disorder
- F11.18Opioid abuse with other opioid-induced disorder
- F11.19Opioid abuse with unspecified opioid-induced disorder