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Home/Diagnosis/ICD-10 Coding for Methadone Dependence

ICD-10 Coding for Methadone Dependence

F11.20
F11.21

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

Also Known as:
Opioid Dependence on Methadone
Methadone Addiction
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Key Information: ICD-10 Coding for Methadone Dependence

Essential facts and insights about ICD-10 Coding for Methadone Dependence

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

clinical:
  • • Presence of withdrawal symptoms and tolerance.
documentation:
  • • Detailed history of methadone use and dependence.

Applicable To

  • • Methadone dependence

Important Notes

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

Opioid dependence, in remission

Billable Code
F11.21
Billable

Diagnostic Criteria

clinical:
  • • No withdrawal symptoms for 12 months
  • • Stable methadone dose

Applicable To

  • • Methadone dependence in remission

Important Notes

  • • Ensure remission status is clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.891

Long-term (current) use of opiate analgesic

Use alongside F11.21 for patients on methadone maintenance therapy.

Frequently Asked Questions

What is the ICD-10 code for methadone dependence?

The ICD-10 code for methadone dependence is F11.20 for uncomplicated cases and F11.21 for those in remission.

How do you document methadone dependence?

Document methadone dependence by including DSM-5 criteria, current methadone dose, and urine drug screen results.

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