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Home/Diagnosis/ICD-10 Coding for Drug Use Disorders

ICD-10 Coding for Drug Use Disorders

F11.20
T40.1X1A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for drug use disorders includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Substance Use Disorders
Drug Abuse
Drug Dependence
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Key Information: ICD-10 Coding for Drug Use Disorders

Essential facts and insights about ICD-10 Coding for Drug Use Disorders

Use ICD-10 code F11.20 for opioid dependence, uncomplicated, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Opioid dependence, uncomplicated

Billable Code
F11.20
Billable

Diagnostic Criteria

  • • Presence of withdrawal symptoms or tolerance.

Applicable To

  • • Opioid addiction

Important Notes

  • • Ensure documentation supports the diagnosis of dependence, not just use or abuse.

Poisoning by heroin, accidental (unintentional), initial encounter

Billable Code
T40.1X1A
Billable

Diagnostic Criteria

    Applicable To

    • • Heroin overdose

    Important Notes

    • • Sequence the poisoning code as the principal diagnosis.
    Ancillary Codes

    Additional codes that may be used with this diagnosis

    F11.23

    Opioid dependence with withdrawal

    Use when withdrawal symptoms are present alongside dependence.

    N17.9

    Acute kidney failure, unspecified

    Use to document complications such as acute kidney injury.

    Frequently Asked Questions

    What is the ICD-10 code for opioid dependence?

    The ICD-10 code for opioid dependence, uncomplicated, is F11.20. It is used when there is documented evidence of opioid dependence without complications.

    How do you code a heroin overdose?

    For an accidental heroin overdose, use T40.1X1A. Ensure to document the overdose as accidental and include any complications.

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