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Home/Diagnosis/ICD-10 Coding for Opiate Overdose

ICD-10 Coding for Opiate Overdose

T40.1X1A
F11.22

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

Also Known as:
Opioid Overdose
Narcotic Overdose
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Key Information: ICD-10 Coding for Opiate Overdose

Essential facts and insights about ICD-10 Coding for Opiate Overdose

Use ICD-10 code T40.1X1A for poisoning by heroin, accidental (unintentional), initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Poisoning by heroin, accidental (unintentional), initial encounter

Billable Code
T40.1X1A
Billable

Diagnostic Criteria

clinical:
  • • Heroin identified in toxicology report
documentation:
  • • Intent documented as accidental

Applicable To

  • • Heroin overdose

Important Notes

  • • Ensure documentation specifies the opioid type and intent.

Opioid dependence with intoxication

Non-Billable
F11.22
Non-Billable

Diagnostic Criteria

clinical:
  • • Documented opioid dependence
  • • Intoxication symptoms present

Applicable To

  • • Opioid intoxication in a dependent person

Important Notes

  • • Ensure clear documentation of dependence and intoxication.
Ancillary Codes

Additional codes that may be used with this diagnosis

F11.20

Opioid dependence, uncomplicated

Use when there is a documented history of opioid dependence.

Frequently Asked Questions

What is the ICD-10 code for opiate overdose?

The ICD-10 code for opiate overdose varies by substance. For heroin, use T40.1X1A, and for synthetic opioids like fentanyl, use T40.4X1A.

How do you document an opiate overdose?

Document the specific opioid, route of administration, symptoms, and response to naloxone. Specify intent as accidental or intentional.

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