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Home/Diagnosis/ICD-10 Coding for Methadone Use

ICD-10 Coding for Methadone Use

F11.10
F11.11
F11.20

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

Also Known as:
Methadone Maintenance Therapy
Methadone Treatment
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Key Information: ICD-10 Coding for Methadone Use

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

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

Primary ICD-10-CM Codes

Opioid abuse, uncomplicated

Billable Code
F11.10
Billable

Diagnostic Criteria

  • • Patient exhibits 2-3 DSM-5 criteria for opioid use disorder.

Applicable To

  • • Opioid abuse without dependence

Important Notes

  • • Ensure documentation supports the level of opioid use disorder.

Opioid abuse, in remission

Billable Code
F11.11
Billable

Diagnostic Criteria

  • • Provider documentation explicitly states 'in remission'.

Applicable To

  • • Opioid abuse in remission

Important Notes

  • • Provider must document remission status explicitly.

Opioid dependence, uncomplicated

Billable Code
F11.20
Billable

Diagnostic Criteria

  • • Patient meets ≥4 DSM-5 criteria for opioid use disorder.

Applicable To

  • • Opioid dependence without complications

Important Notes

  • • Ensure documentation supports the diagnosis of dependence.
Ancillary Codes

Additional codes that may be used with this diagnosis

H0020

Alcohol and/or drug services; methadone administration and/or service

Use for billing methadone administration services.

G2078

Take-home supply of methadone

Use for billing take-home methadone doses.

Z79.891

Long-term use of opiate analgesic

Use for long-term opioid use, excluding methadone maintenance.

Frequently Asked Questions

What is the ICD-10 code for methadone use?

The ICD-10 code for methadone use in opioid use disorder is primarily F11.20 for dependence. Use F11.11 if in remission.

How is methadone maintenance therapy documented?

Document methadone maintenance therapy by noting the opioid use disorder diagnosis, methadone dosage, and provider assessment of remission status.

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