Opioid depend w opioid-induc psychotic disorder w delusions

This diagnosis code signifies a patient's physiological and psychological reliance on opioids, complicated by the presence of a psychotic disorder characterized by false, fixed beliefs directly attributable to opioid use. The psychotic symptoms, specifically delusions, are a direct consequence of the opioid intoxication or withdrawal.

Apply this code when documentation clearly indicates a patient meets criteria for opioid dependence and is experiencing delusions that are determined by the treating clinician to be opioid-induced. This typically involves a psychiatric evaluation confirming the causal link between opioid use and the psychotic features.

• Ensure documentation explicitly states "opioid-induced psychotic disorder with delusions" and confirms opioid dependence.
• Distinguish from other substance-induced psychotic disorders or primary psychotic disorders exacerbated by substance use.
• Always sequence this code as the primary diagnosis if it is the reason for the encounter, followed by any associated physical conditions.