InnovaRx Innova Health Strategies

F11.13

Opioid abuse with withdrawal

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 3 never code together
F11.1code
Excludes1
  • opioid dependence (F11.2-)F11.2-
  • opioid use, unspecified (F11.9-)F11.9-
F01-F99chapter
Excludes2
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)R00-R99

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 1
F01-F99chapter
Includes
  • disorders of psychological development
Index entries leading here 1
Alongside this code 7 same parent — F11.1
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC55 CMS28HCC137 ESRD21HCC55 ESRD24HCC55

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
F11.1
Block
F10-F19
Siblings
7

Present FY2024–FY2027.