F11.282 — Opioid dependence with opioid-induced sleep disorder
F11.282 is a billable, specific ICD-10-CM code for opioid dependence with opioid-induced sleep disorder. It is valid for submission on a claim.
Other codes that can never be billed with F11.282
These codes carry an Excludes1 note pointing at F11.282. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F11.282 alone.
- G47.5Parasomnia
Risk adjustment
F11.282 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 137 Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications0.424 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
F11.282 is named in 21 Medicare coverage policies — 20 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A54799Billing and Coding: Urine Drug Testing
- A55001Billing and Coding: Urine Drug Testing
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
How F11.282 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F11.282.
- Hypersomnia›due to›opioid›dependence
- Insomnia›due to›opioid›dependence
- Parasomnia›due to›opioid›dependence
- Dependence›drug NEC›opioid›with›sleep disorder
- Disorder›sleep›due to›opioid›dependence
- Disorder›sleep›circadian rhythm›due to›opioid›dependence
Related codes at this level
Codes that share F11.28. If F11.282 is not quite right, the correct code is usually one of these.
Questions about F11.282
- Is F11.282 a billable ICD-10-CM code?
- Yes. F11.282 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F11.282 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).