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F11.288 · Billable

2026 ICD-10-CM Diagnosis Code F11.288

Opioid dependence with other opioid-induced disorder

About F11.288

Code

F11.288

Description

Opioid dependence with other opioid-induced disorder

Billable

Yes — billable on its own

Parent code

F11 (Opioid related disorders)

Category

F10-F19 — Mental and behavioral disorders due to psychoactive substance use

Set

ICD-10-CM 2026

Clinical context

Inherited from F11 (Opioid related disorders)

F11 codes the spectrum of opioid use disorders — including prescription opioids (oxycodone, hydrocodone, fentanyl, morphine) and illicit opioids (heroin). Document use vs. abuse vs. dependence, and current state (intoxication, withdrawal, induced disorder, remission). Co-occurring mental health diagnoses are common — capture them in the same encounter for accurate clinical and billing records.

Code details

Code attributes

  • Non-billable/Non-specific code

Coding rules

  • Specify the leaf code — the parent code (e.g. F32) is a navigational header; billing requires a leaf code (F32.0, F32.1, etc.) that matches the documented presentation.
  • Document onset, course, and severity (mild / moderate / severe) plus functional impact. Payers use this combination when adjudicating medical necessity.
  • Attach a validated instrument score (PHQ-9, GAD-7, PCL-5, or equivalent) at intake and at follow-up where applicable. Objective measures support code selection and continued authorization.
  • Review at every visit and update if presentation changes — including remission and partial remission states.

Codes

47 codes in F11

Sources

  • Centers for Medicare & Medicaid Services — 2026 ICD-10-CM
  • AAPC — ICD-10-CM Code Lookup
  • CDC — ICD-10-CM Official Guidelines for Coding and Reporting

This reference is provided for billing and documentation guidance only. It is not medical advice. For clinical decision-making, consult the current CMS ICD-10-CM Official Guidelines for Coding and Reporting, and verify code applicability against the patient's documented clinical findings.

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