Opioid abuse with withdrawal

This code signifies a pattern of problematic opioid use leading to clinically significant impairment or distress, specifically characterized by the presence of withdrawal symptoms. It indicates a less severe form of opioid use disorder where the individual experiences withdrawal upon cessation or reduction of opioid intake, but does not meet criteria for dependence.

Apply this code when documentation clearly indicates opioid abuse accompanied by the physiological and psychological signs and symptoms of opioid withdrawal, such as dysphoric mood, nausea, muscle aches, or lacrimation. This is appropriate when the patient does not meet the full diagnostic criteria for opioid dependence. Supporting documentation includes physician notes detailing withdrawal symptoms and a diagnosis of opioid abuse.

• Differentiate from opioid dependence (F11.2-) which implies a more severe disorder with tolerance and withdrawal as core features.
• Ensure documentation explicitly states "abuse" and details specific withdrawal symptoms.
• Do not use if the patient is experiencing opioid-induced mental disorders without withdrawal.