Coding and coverage · ICD-10-CM

F11 › F11.1

F11.15 Opioid abuse with opioid-induced psychotic disorder

Not billable (header)Chapter 5

Report one of the more specific codes below.

Check coverage with this diagnosis

Codes under this one

  • F11.150 Opioid abuse with opioid-induced psychotic disorder with delusions
  • F11.151 Opioid abuse with opioid-induced psychotic disorder with hallucinations
  • F11.159 Opioid abuse with opioid-induced psychotic disorder, unspecified

Instructional notes

Chapter 5

Excludes2Not included here: the patient may have both; report both when both are present.
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Includes
  • disorders of psychological development

F11.1

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.

Chapter 5: Mental, Behavioral and Neurodevelopmental disorders · F10-F19 Mental and behavioral disorders due to psychoactive substance use (F10-F19)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.