Appendix A: Opioid Use Disorder Diagnosis Codes

Appendix A: Opioid Use Disorder Diagnosis Codes
Table 1: Qualified Opioid Use Disorder (OUD) Diagnosis Codes for ViT Care Management Fee (CMF)
Payments
OUD Condition
Abuse,
dependence, or
use
(all F11 series)

ICD-10-CM
Diagnosis Codes:
F11.1 Opioid
abuse

F11.2 Opioid
dependence

F11.9 Opioid
use, unspecified

ICD-10_CM Diagnosis Codes
F11.1 Opioid abuse
F11.10 …… uncomplicated
F11.11 …… in remission
F11.12 Opioid abuse with intoxication
F11.120 …… uncomplicated
F11.121 …… delirium
F11.122 …… with perceptual disturbance
F11.129 …… unspecified
F11.14 …… with opioid-induced mood disorder
F11.15 Opioid abuse with opioid-induced psychotic disorder
F11.150 …… with delusions
F11.159 …… unspecified
F11.18 Opioid abuse with other opioid-induced disorder
F11.181 Opioid abuse with opioid-induced sexual dysfunction
F11.182 Opioid abuse with opioid-induced sleep disorder
F11.188 Opioid abuse with other opioid-induced disorder
F11.19 …… with unspecified opioid-induced disorder
F11.20 …… uncomplicated
F11.21 …… in remission
F11.22 Opioid dependence with intoxication
F11.220 …… uncomplicated
F11.221 …… delirium
F11.222 …… with perceptual disturbance
F11.229 …… unspecified
F11.23 …… with withdrawal
F11.24 …… with opioid-induced mood disorder
F11.25 Opioid dependence with opioid-induced psychotic disorder
F11.250 …… with delusions
F11.251 …… with hallucinations
F11.259 …… unspecified
F11.28 Opioid dependence with other opioid-induced disorder
F11.281 Opioid dependence with opioid-induced sexual dysfunction
F11.282 Opioid dependence with opioid-induced sleep disorder
F11.288 Opioid dependence with other opioid-induced disorder
F11.29 …… with unspecified opioid-induced disorder
F11.9 Opioid use, unspecified
F11.90 …… uncomplicated
F11.92 Opioid use, unspecified with intoxication
F11.920 …… uncomplicated
F11.921 …… delirium
F11.922 …… with perceptual disturbance
F11.929 …… unspecified

1

OUD Condition

ICD-10-CM
Diagnosis Codes:

ICD-10_CM Diagnosis Codes
F11.93 …… with withdrawal
F11.94 …… with opioid-induced mood disorder
F11.95 Opioid use, unspecified with opioid-induced psychotic disorder
F11.950 …… with delusions
F11.951 …… with hallucinations
F11.959 …… unspecified

2