F11.12
F11.12 — Opioid abuse with intoxication
Non-billable headerICD-10-CM
F11.12 is a non-billable header ICD-10-CM code for opioid abuse with intoxication. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
F11.12 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead F11.12
4 child codes. Green means billable.
Related codes at this level
Codes that share F11.1. If F11.12 is not quite right, the correct code is usually one of these.
- F11.10Opioid abuse, uncomplicated
- F11.11Opioid abuse, in remission
- 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
Questions about F11.12
- Is F11.12 a billable ICD-10-CM code?
- No. F11.12 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does F11.12 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental and behavioral disorders due to psychoactive substance use (F10-F19).