Opioid dependence with other opioid-induced disorder

This code signifies a patient's physiological and psychological dependence on opioids, accompanied by another specific opioid-induced mental or behavioral disorder not otherwise specified. This could include conditions like opioid-induced anxiety disorder, mood disorder, or psychotic disorder, where the opioid use is the direct etiological factor. It indicates a more complex presentation than simple dependence.

Use this code when documentation clearly states opioid dependence alongside a co-occurring, opioid-induced mental health condition. This applies to patients undergoing treatment for both the substance use disorder and the related psychiatric symptoms. Documentation should specify both the dependence and the particular opioid-induced disorder.

• Ensure the documentation explicitly links the "other" disorder to opioid use, not a pre-existing or unrelated condition.
• Do not use this code if the opioid-induced disorder is specifically delirium (F11.221), psychotic disorder (F11.25x), or mood disorder (F11.24x), as those have more specific codes.
• Always sequence this code after any acute intoxication or withdrawal codes, if applicable, to reflect the chronic nature of the dependence.