ICD Code F11.90

ICD code F11.90 is opioid use that is unspecified and uncomplicated, meaning the patient uses opioids but there are no associated complications, dependence, or withdrawal symptoms documented.

1. Patient has a documented history of opioid use.

2. There is no evidence of opioid dependence or withdrawal symptoms.

3. No complications such as opioid-induced disorders (e.g., mood, psychotic, or sleep disorders) are present.

4. The opioid use is not specified as abuse or dependence.

5. The opioid use does not meet criteria for intoxication, intoxication delirium, or any other opioid-related complications.

6. The opioid use is not associated with any other substance use disorder.

Relevant CPT codes that may be used to treat ICD code F11.90 include:

- 99202–99215 (Evaluation and Management services)

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

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

- H0001–H0047 (Behavioral health assessment and intervention codes, often used in outpatient substance use treatment settings)

These codes should be selected based on the specific services provided for ICD code F11.90.

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