Opioid abuse w opioid-induced psychotic disorder w delusions

This code signifies a pattern of problematic opioid use leading to clinically significant impairment or distress, specifically characterized by the presence of an opioid-induced psychotic disorder where delusions are a prominent feature. This is distinct from opioid dependence and indicates a direct causal link between opioid use and the psychotic symptoms.

Apply this code when documentation clearly indicates a diagnosis of opioid abuse and a co-occurring psychotic disorder directly attributable to opioid use, presenting with delusions. This typically requires a physician's assessment confirming the substance-induced nature of the psychosis and the specific delusional symptoms.

• Ensure documentation explicitly states "abuse" of opioids, not just "use" or "dependence," and specifies the presence of delusions.
• Differentiate from F11.250 (opioid dependence with opioid-induced psychotic disorder with delusions); the key is abuse vs. dependence.
• Do not use if the psychotic disorder predates opioid use or is determined to be an independent mental health condition.