F11.288 — Opioid dependence with other opioid-induced disorder
F11.288 is a billable, specific ICD-10-CM code for opioid dependence with other opioid-induced disorder. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Opioid-associated amnestic syndrome with opioid dependence
Risk adjustment
F11.288 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
F11.288 is named in 26 Medicare coverage policies — 25 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
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
How F11.288 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 F11.288.
- Dependence›drug NEC›opioid›with›opioid-associated amnestic syndrome
- Dependence›drug NEC›opioid›with›other specified disorder
- Disorder›opioid use›moderate or severe›with›opioid-induced›anxiety disorder
Related codes at this level
Codes that share F11.28. If F11.288 is not quite right, the correct code is usually one of these.
Questions about F11.288
- Is F11.288 a billable ICD-10-CM code?
- Yes. F11.288 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F11.288 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).