F11.2
Header — not billableOpioid dependence
The ICD-10 code for opioid dependence is F11.2.
F11.2 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 8 more specific codes below.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under F11.2
- F11.20Opioid dependence, uncomplicated
- F11.21Opioid dependence, in remission
- F11.22Opioid dependence with intoxicationnon-billable header
- F11.23Opioid dependence with withdrawal
- F11.24Opioid dependence with opioid-induced mood disorder
- F11.25Opioid dependence with opioid-induced psychotic disordernon-billable header
- F11.28Opioid dependence with other opioid-induced disordernon-billable header
- F11.29Opioid dependence with unspecified opioid-induced disorder
Related codes in this category
- F11.1Opioid abusenon-billable header
- F11.9Opioid use, unspecifiednon-billable header
- F11.2Opioid dependencenon-billable header