DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

F11 Opioid related disorders

  • Header · not billable

F11 is not billable. The category heads 45 billable codes in FY2027, grouped under 3 subdivisions.

Index → code

  • Morphinism (without remission) → F11.20
  • Morphinomania (without remission) → F11.20
  • Use (of)opioid → F11.90

Where it sits

  1. Chapter 5 Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
  2. F10-F19 Mental and behavioral disorders due to psychoactive substance use (F10-F19)
  3. F11 Opioid related disorders
Billable codes
45
Subdivisions
3
CC / MCC codes
18 / 0
HCC V28 codes
43
New FY2027
0
Index entries
106

Codes in F11

  1. F11.1
    Opioid abuse
    Header
    Excludes1 2

    Excludes1

    • opioid dependence (F11.2-) F11.2
    • opioid use, unspecified (F11.9-) F11.9
  2. F11.10
    Opioid abuse, uncomplicated
    Billable138
    Inclusion terms 1

    Inclusion terms

    • Opioid use disorder, mild
  3. F11.11
    Opioid abuse, in remission
    Billable138
    Inclusion terms 2

    Inclusion terms

    • Opioid use disorder, mild, in early remission
    • Opioid use disorder, mild, in sustained remission
  4. F11.12
    Opioid abuse with intoxication
    Header
  5. F11.120
    Opioid abuse with intoxication, uncomplicated
    Billable137
  6. F11.121
    Opioid abuse with intoxication delirium
    BillableCC137
  7. F11.122
    Opioid abuse with intoxication with perceptual disturbance
    Billable137
  8. F11.129
    Opioid abuse with intoxication, unspecified
    Billable137
  9. F11.13
    Opioid abuse with withdrawal
    BillableCC137
  10. F11.14
    Opioid abuse with opioid-induced mood disorder
    Billable137
    Inclusion terms 1

    Inclusion terms

    • Opioid use disorder, mild, with opioid-induced depressive disorder
  11. F11.15
    Opioid abuse with opioid-induced psychotic disorder
    Header
  12. F11.150
    Opioid abuse with opioid-induced psychotic disorder with delusions
    BillableCC135
  13. F11.151
    Opioid abuse with opioid-induced psychotic disorder with hallucinations
    BillableCC135
  14. F11.159
    Opioid abuse with opioid-induced psychotic disorder, unspecified
    Billable135
  15. F11.18
    Opioid abuse with other opioid-induced disorder
    Header
  16. F11.181
    Opioid abuse with opioid-induced sexual dysfunction
    Billable137
  17. F11.182
    Opioid abuse with opioid-induced sleep disorder
    Billable137
  18. F11.188
    Opioid abuse with other opioid-induced disorder
    Billable137
    Inclusion terms 1

    Inclusion terms

    • Opioid-associated amnestic syndrome with opioid abuse
  19. F11.19
    Opioid abuse with unspecified opioid-induced disorder
    Billable137
  20. F11.2
    Opioid dependence
    Header
    Excludes1 2, Excludes2 1

    Excludes1

    • opioid abuse (F11.1-) F11.1
    • opioid use, unspecified (F11.9-) F11.9

    Excludes2

  21. F11.20
    Opioid dependence, uncomplicated
    BillableCC137
    Inclusion terms 2

    Inclusion terms

    • Opioid use disorder, moderate
    • Opioid use disorder, severe
  22. F11.21
    Opioid dependence, in remission
    Billable137
    Inclusion terms 4

    Inclusion terms

    • Opioid use disorder, moderate, in early remission
    • Opioid use disorder, moderate, in sustained remission
    • Opioid use disorder, severe, in early remission
    • Opioid use disorder, severe, in sustained remission
  23. F11.22
    Opioid dependence with intoxication
    Header
    Excludes1 1

    Excludes1

    • opioid dependence with withdrawal (F11.23) F11.23
  24. F11.220
    Opioid dependence with intoxication, uncomplicated
    Billable137
  25. F11.221
    Opioid dependence with intoxication delirium
    BillableCC137
  26. F11.222
    Opioid dependence with intoxication with perceptual disturbance
    BillableCC137
  27. F11.229
    Opioid dependence with intoxication, unspecified
    Billable137
  28. F11.23
    Opioid dependence with withdrawal
    BillableCC137
    Excludes1 1

    Excludes1

    • opioid dependence with intoxication (F11.22-) F11.22
  29. F11.24
    Opioid dependence with opioid-induced mood disorder
    Billable137
    Inclusion terms 1

    Inclusion terms

    • Opioid use disorder, moderate, with opioid induced depressive disorder
  30. F11.25
    Opioid dependence with opioid-induced psychotic disorder
    Header
  31. F11.250
    Opioid dependence with opioid-induced psychotic disorder with delusions
    BillableCC135
  32. F11.251
    Opioid dependence with opioid-induced psychotic disorder with hallucinations
    BillableCC135
  33. F11.259
    Opioid dependence with opioid-induced psychotic disorder, unspecified
    BillableCC135
  34. F11.28
    Opioid dependence with other opioid-induced disorder
    Header
  35. F11.281
    Opioid dependence with opioid-induced sexual dysfunction
    BillableCC137
  36. F11.282
    Opioid dependence with opioid-induced sleep disorder
    BillableCC137
  37. F11.288
    Opioid dependence with other opioid-induced disorder
    BillableCC137
    Inclusion terms 1

    Inclusion terms

    • Opioid-associated amnestic syndrome with opioid dependence
  38. F11.29
    Opioid dependence with unspecified opioid-induced disorder
    Billable137
  39. F11.9
    Opioid use, unspecified
    Header
    Excludes1 2

    Excludes1

    • opioid abuse (F11.1-) F11.1
    • opioid dependence (F11.2-) F11.2
  40. F11.90
    Opioid use, unspecified, uncomplicated
    Billable
  41. F11.91
    Opioid use, unspecified, in remission
    Billable
  42. F11.92
    Opioid use, unspecified with intoxication
    Header
    Excludes1 1

    Excludes1

    • opioid use, unspecified with withdrawal (F11.93) F11.93
  43. F11.920
    Opioid use, unspecified with intoxication, uncomplicated
    Billable137
  44. F11.921
    Opioid use, unspecified with intoxication delirium
    BillableCC137
    Inclusion terms 1

    Inclusion terms

    • Opioid-induced delirium
  45. F11.922
    Opioid use, unspecified with intoxication with perceptual disturbance
    Billable137
  46. F11.929
    Opioid use, unspecified with intoxication, unspecified
    Billable137
  47. F11.93
    Opioid use, unspecified with withdrawal
    BillableCC137
    Excludes1 1

    Excludes1

    • opioid use, unspecified with intoxication (F11.92-) F11.92
  48. F11.94
    Opioid use, unspecified with opioid-induced mood disorder
    Billable137
    Inclusion terms 1

    Inclusion terms

    • Opioid induced depressive disorder, without use disorder
  49. F11.95
    Opioid use, unspecified with opioid-induced psychotic disorder
    Header
  50. F11.950
    Opioid use, unspecified with opioid-induced psychotic disorder with delusions
    BillableCC135
  51. F11.951
    Opioid use, unspecified with opioid-induced psychotic disorder with hallucinations
    BillableCC135
  52. F11.959
    Opioid use, unspecified with opioid-induced psychotic disorder, unspecified
    Billable135
  53. F11.98
    Opioid use, unspecified with other specified opioid-induced disorder
    Header
  54. F11.981
    Opioid use, unspecified with opioid-induced sexual dysfunction
    Billable137
    Inclusion terms 1

    Inclusion terms

    • Opioid induced sexual dysfunction, without use disorder
  55. F11.982
    Opioid use, unspecified with opioid-induced sleep disorder
    Billable137
    Inclusion terms 1

    Inclusion terms

    • Opioid induced sleep disorder, without use disorder
  56. F11.988
    Opioid use, unspecified with other opioid-induced disorder
    Billable137
    Inclusion terms 2

    Inclusion terms

    • Opioid-associated amnestic syndrome without use disorder
    • Opioid induced anxiety disorder, without use disorder
  57. F11.99
    Opioid use, unspecified with unspecified opioid-induced disorder
    Billable137

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

Notes that also apply

Chapter 5 instructions (Includes 1, Excludes2 1): printed on the chapter 5 page.

Index entries

  • Morphinism (without remission) → F11.20
  • Morphinomania (without remission) → F11.20
  • Maintenance (encounter for)methadone → F11.20
  • Morphinism (without remission)with remission → F11.21
  • Morphinomania (without remission)with remission → F11.21
  • Use (of)opioid → F11.90
  • Abstinence symptoms, syndromeopioid → F11.93
  • Abusedrug NEC (non-dependent)opioid → F11.10
  • Disorder (of)opioid usemild → F11.10
  • Dependence (on) (syndrome)drug NECopioid → F11.20
  • Disorder (of)opioid usemoderate or severe → F11.20
  • Abstinence symptoms, syndromeopioidwith dependence → F11.23
  • Opioid(s)induced, without use disorderdepressive disorder → F11.24
  • Opioid(s)induced, without use disordersexual dysfunction → F11.281
  • Opioid(s)induced, without use disorderanxiety disorder → F11.288
  • Use (of)opioidin remission → F11.91
  • Delirium, delirious (acute or subacute) (not alcohol- or drug-induced)due to (secondary to)opioid intoxication (acute) → F11.921
  • Opioid(s)induced, without use disorderdelirium → F11.921
  • Disturbance(s)perceptual due toopioid intoxication (acute) → F11.922
  • Hallucinosis (chronic)drug-inducedopioid → F11.951
  • Dysfunctionsexual (due to)opioid → F11.981
  • Opioid(s)induced, without use disordersleep disorder → F11.982
  • Abusedrug NEC (non-dependent)opioidin remission (early) (sustained) → F11.11
  • Disorder (of)opioid usemildin remission (early) (sustained) → F11.11
  • Hypersomnia (organic)due toopioidabuse → F11.182
  • Insomnia (organic)due toopioidabuse → F11.182
  • Parasomniadue toopioidabuse → F11.182
  • Therapydrug, long-term (current) (prophylactic)methadonemaintenance therapy → F11.20
  • Dependence (on) (syndrome)drug NECopioidin remission → F11.21
  • Disorder (of)opioid usemoderate or severein remission (early) (sustained) → F11.21
  • Hypersomnia (organic)due toopioiddependence → F11.282
  • Insomnia (organic)due toopioiddependence → F11.282
  • Parasomniadue toopioiddependence → F11.282
  • Use (of)opioidwithopioid-associated amnestic syndrome → F11.288
  • Use (of)opioidwithintoxication → F11.929
  • Use (of)opioidwithwithdrawal → F11.93
  • Disorder (of)mooddue to (secondary to)opioid → F11.94
  • Disorder (of)opioid usewithopioid-induced psychotic disorder → F11.959
  • Hypersomnia (organic)due toopioiduse → F11.982
  • Insomnia (organic)due toopioiduse → F11.982

66 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy