2026 ICD-10-CM Diagnosis Code F11.159
Opioid abuse with opioid-induced psychotic disorder, unspecified
About F11.159
Code
F11.159
Description
Opioid abuse with opioid-induced psychotic disorder, unspecified
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- F11.10Opioid abuse, uncomplicated
- F11.11Opioid abuse, in remission
- F11.120Opioid abuse with intoxication, uncomplicated
- F11.121Opioid abuse with intoxication delirium
- F11.129Opioid abuse with intoxication, unspecified
- F11.13Opioid abuse with withdrawal
- F11.14Opioid abuse with opioid-induced mood disorder
- F11.150Opioid abuse with opioid-induced psychotic disorder with delusions
- F11.151Opioid abuse with opioid-induced psychotic disorder with hallucinations
- F11.159Opioid abuse with opioid-induced psychotic disorder, unspecifiedYou're here
- F11.180Opioid abuse with opioid-induced anxiety disorder
- F11.181Opioid abuse with opioid-induced sexual dysfunction
- F11.182Opioid abuse with opioid-induced sleep disorder
- F11.188Opioid abuse with other opioid-induced disorder
- F11.19Opioid abuse with unspecified opioid-induced disorder
- F11.20Opioid dependence, uncomplicated
- F11.21Opioid dependence, in remission
- F11.220Opioid dependence with intoxication, uncomplicated
- F11.221Opioid dependence with intoxication delirium
- F11.229Opioid dependence with intoxication, unspecified
- F11.230Opioid dependence with withdrawal, uncomplicated
- F11.231Opioid dependence with withdrawal delirium
- F11.232Opioid dependence with withdrawal with perceptual disturbance
- F11.239Opioid dependence with withdrawal, unspecified
- F11.24Opioid dependence with opioid-induced mood disorder
- F11.250Opioid dependence with opioid-induced psychotic disorder with delusions
- F11.251Opioid dependence with opioid-induced psychotic disorder with hallucinations
- F11.259Opioid dependence with opioid-induced psychotic disorder, unspecified
- F11.280Opioid dependence with opioid-induced anxiety disorder
- F11.281Opioid dependence with opioid-induced sexual dysfunction
- F11.282Opioid dependence with opioid-induced sleep disorder
- F11.288Opioid dependence with other opioid-induced disorder
- F11.29Opioid dependence with unspecified opioid-induced disorder
- F11.90Opioid use, unspecified, uncomplicated
- F11.91Opioid use, unspecified, in remission
- F11.920Opioid use, unspecified with intoxication, uncomplicated
- F11.921Opioid use, unspecified with intoxication delirium
- F11.929Opioid use, unspecified with intoxication, unspecified
- F11.94Opioid use, unspecified with opioid-induced mood disorder
- F11.950Opioid use, unspecified with opioid-induced psychotic disorder with delusions
- F11.951Opioid use, unspecified with opioid-induced psychotic disorder with hallucinations
- F11.959Opioid use, unspecified with opioid-induced psychotic disorder, unspecified
- F11.980Opioid use, unspecified with opioid-induced anxiety disorder
- F11.981Opioid use, unspecified with opioid-induced sexual dysfunction
- F11.982Opioid use, unspecified with opioid-induced sleep disorder
- F11.988Opioid use, unspecified with other opioid-induced disorder
- F11.99Opioid use, unspecified with unspecified opioid-induced disorder
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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