Opioid dependence w opioid-induced psychotic disorder, unsp

This code signifies a patient diagnosed with opioid dependence who is also experiencing a psychotic disorder directly induced by opioid use. The psychotic symptoms, such as hallucinations or delusions, are a direct physiological consequence of opioid intoxication or withdrawal. This diagnosis indicates a significant mental health comorbidity linked to the substance use disorder.

Use this code when documentation clearly states opioid dependence and an opioid-induced psychotic disorder, without specifying the severity or type of psychotic features. This applies when the clinician explicitly links the psychosis to opioid use. Supporting documentation would include a psychiatric evaluation detailing the substance use history and the onset and nature of the psychotic symptoms in relation to opioid exposure.

• Ensure the documentation explicitly states "opioid-induced" for the psychotic disorder; otherwise, a co-occurring but unrelated psychotic disorder would be coded separately.
• This code is for unspecified severity of the psychotic disorder; look for more specific F11.25x codes if the documentation details acute intoxication, withdrawal, or other specific manifestations.
• Always sequence the substance use disorder code (F11.259) first, followed by any additional codes for specific symptoms or complications if not fully captured by this code.