Opioid dependence with opioid-induced sexual dysfunction

This diagnosis code signifies a patient's physiological and psychological dependence on opioid substances, specifically when this dependence directly results in sexual dysfunction. This includes conditions like decreased libido, erectile dysfunction, or anorgasmia that are causally linked to chronic opioid use. It represents a dual diagnosis of substance dependence and a related, specific adverse effect.

Apply this code when documentation clearly establishes a diagnosis of opioid dependence and explicitly states that the patient is experiencing sexual dysfunction directly attributable to their opioid use. This typically requires a physician's assessment linking the sexual dysfunction to the opioid dependence, often after ruling out other potential causes.

• Ensure the documentation explicitly states "opioid-induced" sexual dysfunction, not just co-occurring conditions.
• Do not use if the sexual dysfunction is due to another medical condition or medication unrelated to opioid dependence.
• Consider sequencing this code after the primary diagnosis if the sexual dysfunction is a manifestation or complication.