F11.95
F11.95 — Opioid use, unspecified with opioid-induced psychotic disorder
Non-billable headerICD-10-CM
F11.95 is a non-billable header ICD-10-CM code for opioid use, unspecified with opioid-induced psychotic disorder. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
F11.95 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 F11.95
3 child codes. Green means billable.
Related codes at this level
Codes that share F11.9. If F11.95 is not quite right, the correct code is usually one of these.
- F11.90Opioid use, unspecified, uncomplicated
- 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
- F11.98Opioid use, unspecified with other specified opioid-induced disorder
- F11.99Opioid use, unspecified with unspecified opioid-induced disorder
Questions about F11.95
- Is F11.95 a billable ICD-10-CM code?
- No. F11.95 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does F11.95 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).