F11.2
F11.2: Opioid dependence
Non-billable headerICD-10-CM
F11.2 is a non-billable header ICD-10-CM code for opioid dependence. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Other codes that can never be billed with F11.2
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 F11.2
8 child codes. Green means billable.
- F11.20Opioid dependence, uncomplicated
- F11.21Opioid dependence, in remission
- F11.22Opioid dependence with intoxication
- F11.23Opioid dependence with withdrawal
- F11.24Opioid dependence with opioid-induced mood disorder
- F11.25Opioid dependence with opioid-induced psychotic disorder
- F11.28Opioid dependence with other opioid-induced disorder
- F11.29Opioid dependence with unspecified opioid-induced disorder