Resolved Opioids

[ShannonH_42838]

Hi all,
When a patient is taking opioids as prescribed would this be Z79.891 or F11.90?
Documentation example: chronic low back pain managed with opioids, taking as prescribed.
Index: Therapy>drug, longterm>opiATe (opiOIDE is not listed) Z79.891
Or
Index: Use>opioid F11.90
Thank you in advance!

 

[Lori]

Please see this thread on use, abuse & dependence.

Resource - Coding Use Abuse & Dependence

ICD-10-CM Official Guidelines for Coding and Reporting FY 2022 5. Chapter 5: Mental, Behavioral and Neurodevelopmental disorders (F01 – F99) a. Pain disorders related to psychological factors Assign code F45.41, for pain that is exclusively related to psychological disorders. As indicated by...

www.cco.community

Opiods:

Resource - Opioid

Chapter 5: Mental, Behavioral and Neurodevelopmental disorders (F01 – F99) b. Mental and behavioral disorders due to psychoactive substance use 3. Psychoactive Substance Use, Unspecified As with all other unspecified diagnoses, the codes for unspecified psychoactive substance use (F10.9-...

www.cco.community

Psychoactive Substance Use, Unspecified
As with all other unspecified diagnoses, the codes for unspecified psychoactive substance use (F10.9-, F11.9-, F12.9-, F13.9-, F14.9-, F15.9-, F16.9-, F18.9-, F19.9-) should only be assigned based on provider documentation and when they meet the definition of a reportable diagnosis (see Section III, Reporting Additional Diagnoses). These codes are to be used only when the psychoactive substance use is associated with a physical disorder included in chapter 5 (such as sexual dysfunction and sleep disorder), or a mental or behavioral disorder, and such a relationship is documented by the provider.

• A code of F11.20, opioid dependence, should not be assigned for patients taking pain medication as prescribed.
• Instead a code of Z79.891, long term use of opiates, should be assigned.