F11.981 — Opioid use, unspecified with opioid-induced sexual dysfunction
F11.981 is a billable, specific ICD-10-CM code for opioid use, unspecified with opioid-induced sexual dysfunction. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Opioid induced sexual dysfunction, without use disorder
Risk adjustment
F11.981 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
F11.981 is named in 11 Medicare coverage policies — 10 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
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
- A56756Billing and Coding: Home Health - Psychiatric Care
- A56818Billing and Coding: Urine Drug Testing
How F11.981 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 F11.981.
- Dysfunction›sexual›opioid
- Opioid›induced, without use disorder›sexual dysfunction
- Disorder›opioid use›moderate or severe›with›opioid-induced›sexual dysfunction
Related codes at this level
Codes that share F11.98. If F11.981 is not quite right, the correct code is usually one of these.
Questions about F11.981
- Is F11.981 a billable ICD-10-CM code?
- Yes. F11.981 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F11.981 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).