R78.1

R78.1: Finding of opiate drug in blood

Billable / specific codeICD-10-CM

R78.1 is a billable, specific ICD-10-CM code for finding of opiate drug in blood. It is valid for submission on a claim.

Check R78.1 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above R78.1

Not part of this code, but both may be coded when both are present.

Written on R78: Findings of drugs and other substances, not normally found in blood

mental or behavioral disorders due to psychoactive substance use (F10-F19)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

R78.1 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy

Alphabetic index entries that lead here

Findings, abnormal, inconclusive, without diagnosis›in blood›opiate drug

Code history

Unchanged in every release from FY2024 to FY2027.