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Home/Diagnosis/ICD-10 Coding for Opioid Withdrawal

ICD-10 Coding for Opioid Withdrawal

F11.93
F11.23

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

Also Known as:
Opioid Withdrawal Syndrome
Opioid Detoxification
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Key Information: ICD-10 Coding for Opioid Withdrawal

Essential facts and insights about ICD-10 Coding for Opioid Withdrawal

Use ICD-10 code F11.93 for opioid withdrawal without use disorder, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Opioid withdrawal without use disorder

Billable Code
F11.93
Billable

Diagnostic Criteria

clinical:
  • • COWS score ≥5
  • • Documented absence of opioid use disorder
documentation:
  • • Explicit statement of no opioid use disorder

Applicable To

  • • Opioid withdrawal without a diagnosis of opioid use disorder

Important Notes

  • • Ensure documentation clearly states the absence of opioid use disorder.

Opioid withdrawal with moderate or severe use disorder

Billable Code
F11.23
Billable

Diagnostic Criteria

clinical:
  • • DSM-5 criteria for moderate/severe opioid use disorder
  • • COWS score indicating withdrawal

Applicable To

  • • Opioid withdrawal with moderate or severe opioid use disorder

Important Notes

  • • Ensure documentation includes DSM-5 criteria for opioid use disorder.
Ancillary Codes

Additional codes that may be used with this diagnosis

R50.9

Fever, unspecified

Use to document fever as a symptom of withdrawal.

K59.1

Functional diarrhea

Use to document diarrhea as a symptom of withdrawal.

T40.2X5A

Adverse effect of opioids

Use to document adverse effects during withdrawal.

Frequently Asked Questions

What is the ICD-10 code for opioid withdrawal without use disorder?

The ICD-10 code for opioid withdrawal without use disorder is F11.93. It is used when withdrawal symptoms are present without a diagnosis of opioid use disorder.

How is opioid withdrawal coded in ICD-10?

Opioid withdrawal is coded as F11.93 if there is no use disorder, or F11.23 if there is a moderate/severe use disorder.

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