Opioid abuse with opioid-induced psychotic disorder, unsp

This code signifies a pattern of problematic opioid use leading to clinically significant impairment or distress, specifically complicated by the presence of an opioid-induced psychotic disorder. The psychotic symptoms (e.g., hallucinations, delusions) are directly attributable to the physiological effects of opioid use. The severity of the opioid abuse is not specified.

Apply this code when documentation clearly indicates a diagnosis of opioid abuse alongside an opioid-induced psychotic disorder, and the specific severity of the abuse (e.g., mild, moderate, severe) is not documented. This code is appropriate when the clinician has established a causal link between opioid use and the psychotic symptoms. Supporting documentation would include psychiatric evaluations, substance use assessments, and toxicology reports.

• Always seek clarification from the provider if the severity of opioid abuse (mild, moderate, severe) is not documented, as more specific codes exist.
• Distinguish this from primary psychotic disorders that may be exacerbated by opioid use; the psychosis must be induced by the opioid.
• Consider sequencing this code as the primary diagnosis if the opioid abuse and induced psychosis are the main reason for the encounter.