Opioid abuse with other opioid-induced disorder

This code signifies a pattern of problematic opioid use leading to clinically significant impairment or distress, specifically when accompanied by another opioid-induced mental or behavioral disorder. This includes conditions like opioid-induced mood disorder, anxiety disorder, or psychotic disorder, but excludes intoxication or withdrawal.

Apply this code when a patient demonstrates symptoms consistent with opioid abuse, and the medical record clearly documents an additional, specific opioid-induced disorder. Documentation should specify the type of opioid-induced disorder (e.g., opioid-induced depressive disorder) in addition to the abuse.

• Do not use this code for opioid dependence or opioid use disorder, moderate or severe; those require codes from the F11.2- subcategory.
• Ensure the documentation differentiates between opioid abuse and opioid dependence, as the diagnostic criteria are distinct.
• Always sequence this code after any acute opioid intoxication (T40.0X1-T40.4X1) or withdrawal (F11.93) if present and being treated.