ICD Code F11.23

ICD code F11.23 is opioid dependence with withdrawal symptoms.

1. Patient has a documented history of opioid dependence.

2. Evidence of physiological adaptation to opioids (tolerance and/or withdrawal symptoms).

3. Patient is currently experiencing withdrawal symptoms such as dysphoric mood, nausea or vomiting, muscle aches, lacrimation or rhinorrhea, pupillary dilation, piloerection or sweating, diarrhea, yawning, fever, or insomnia.

4. Withdrawal symptoms are not attributable to another medical condition or mental disorder.

5. Symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Relevant CPT codes that may be used to treat ICD code F11.23 include:

- 99202–99215 (Evaluation and Management services)

- 96372 (Therapeutic, prophylactic, or diagnostic injection)

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

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

- H0001 (Alcohol and/or drug assessment)

- H0004 (Behavioral health counseling and therapy)

- H0038 (Self-help/peer services)

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

The selection of CPT codes should be based on the specific services provided for ICD code F11.23.

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