ICD Code F11.21

ICD code F11.21 is opioid dependence, in remission.

1. Documented history of opioid dependence meeting DSM-5 or ICD-10 criteria

2. Individual is not currently exhibiting symptoms of opioid use disorder

3. No ongoing use of opioids outside of a prescribed, supervised medical regimen

4. Sustained period of abstinence from opioid misuse

5. Evidence of continued remission, typically for at least 3 months

6. Ongoing monitoring and support to prevent relapse

7. Absence of withdrawal symptoms or cravings interfering with daily functioning

Relevant CPT codes for ICD code F11.21 include:

- 99202–99215 (Evaluation and Management services)

- 99406–99407 (Smoking and tobacco use cessation counseling, which may be used for substance use counseling)

- 99408–99409 (Alcohol and/or substance abuse structured screening and brief intervention services)

- 96372 (Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular)

- 96365 (Intravenous infusion, for therapy, prophylaxis, or diagnosis)

- 80305–80307 (Drug test(s), presumptive)

- 80320–80377 (Drug test(s), definitive)

- H0001–H0047 (Behavioral health assessment and intervention, commonly used in substance use disorder treatment programs)

- G0396–G0397 (Alcohol and/or substance abuse structured assessment and intervention)

These CPT codes may be used in conjunction with ICD code F11.21, depending on the specific services rendered.

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