F11.12
Non-Billable

Opioid abuse with intoxication

Non-Billable / Non-Specific Code

What is Opioid abuse with intoxication?

ICD-10-CM F11.12 is the diagnosis code for Opioid abuse with intoxication. This code falls under the section "Mental and behavioral disorders due to psychoactive substance use" within Chapter 5 — Mental, Behavioral and Neurodevelopmental disorders (F01-F99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for F11.12

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where F11.12 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 4 entries
F11.120Opioid abuse with intoxication, uncomplicatedBillableF11.121Opioid abuse with intoxication deliriumBillableF11.122Opioid abuse with intoxication with perceptual disturbanceBillableF11.129Opioid abuse with intoxication, unspecifiedBillable
Related Codes

Frequently Asked Questions

Is F11.12 a billable ICD-10-CM code?

No, F11.12 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does F11.12 mean?

F11.12 is the ICD-10-CM diagnosis code for "Opioid abuse with intoxication". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of F11.12?

The parent code of F11.12 is F11.1 ("Opioid abuse"). F11.12 provides a more specific classification within this category.

What section is F11.12 in?

F11.12 is located in Section F10-F19 — "Mental and behavioral disorders due to psychoactive substance use" within Chapter 5 of the ICD-10-CM Tabular List.

What are the sub-codes of F11.12?

F11.12 has 4 sub-code(s) that provide more specific detail: F11.120, F11.121, F11.122, F11.129.

When should I use F11.12?

Use F11.12 when the patients documented diagnosis matches "Opioid abuse with intoxication" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Opioid abuse with intoxication?

The ICD-10-CM code for Opioid abuse with intoxication is F11.12.

Can F11.12 be used for primary diagnosis?

No, F11.12 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is F11.12 in?

F11.12 is in Chapter 5 of the ICD-10-CM Tabular List.

Is F11.12 valid for 2026?

Yes, F11.12 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousF11.11Opioid abuse, in remissionNext →F11.120Opioid abuse with intoxication, uncomplicated
Code Details
F11.12
Opioid abuse with intoxication
Non-Billable / Non-Specific Code
5 — Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
F10-F19 — Mental and behavioral disorders due to psychoactive substance use
2026 ICD-10-CM