Opioid abuse with intoxication with perceptual disturbance

This code signifies a patient diagnosed with opioid abuse who is currently experiencing intoxication, characterized by altered perceptions such as hallucinations or illusions. It indicates a pattern of problematic opioid use leading to clinically significant impairment or distress, coupled with acute effects of the substance on the central nervous system that manifest as perceptual disturbances.

Apply this code when documentation clearly states a diagnosis of opioid abuse and describes current intoxication with specific mention of perceptual disturbances (e.g., "patient abusing opioids, currently intoxicated with visual hallucinations"). Supporting documentation includes provider notes detailing substance use history, current mental status exam findings, and toxicology screens confirming opioid presence.

• Differentiate from opioid dependence (F11.2-) which implies a physiological need for the substance.
• Ensure documentation explicitly states "perceptual disturbance" and not just general intoxication or altered mental status.
• Sequence this code as a primary diagnosis when it is the reason for the encounter, or as a secondary diagnosis if it's a co-occurring condition impacting treatment.