F11.90
F11.90: Opioid use, unspecified, uncomplicated
Billable / specific codeICD-10-CM
F11.90 is a billable, specific ICD-10-CM code for opioid use, unspecified, uncomplicated. It is valid for submission on a claim.
Check F11.90 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F11.90 is named in 11 Medicare coverage policies: 10 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
- A56818Billing and Coding: Urine Drug Testing
- A56937Billing and Coding: Psychiatry and Psychology Services
Alphabetic index entries that lead here
- Use›opioid
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under F11.9
- F11.91Opioid use, unspecified, in remission
- F11.92Opioid use, unspecified with intoxication
- F11.93Opioid use, unspecified with withdrawal
- F11.94Opioid use, unspecified with opioid-induced mood disorder
- F11.95Opioid use, unspecified with opioid-induced psychotic disorder
- F11.98Opioid use, unspecified with other specified opioid-induced disorder
- F11.99Opioid use, unspecified with unspecified opioid-induced disorder