ICD-10 Code F11.15 – Opioid abuse with opioid-induced psychotic disorder (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Opioid abuse with opioid-induced psychotic disorder is F11.15.
2026 ICD-10-CM Diagnosis Code F11.15 – Opioid abuse with opioid-induced psychotic disorder

What it is

Use this code for opioid abuse when the patient also has a psychotic disorder caused by opioid use. It identifies a substance-related mental disorder, not a primary psychotic illness.

Clinical signs

Clinical features vary; refer to documentation. You may see hallucinations, delusions, or other psychotic symptoms appearing in the context of opioid misuse, intoxication, or withdrawal.

When to use this code

Use it when the record clearly links opioid abuse to an opioid-induced psychotic disorder. Code from documentation that names both the abuse pattern and the substance-induced psychosis. If the provider does not specify the relationship, check documentation before assigning the code.

Do not use for

Do not use this code for opioid dependence, uncomplicated opioid use, or psychosis unrelated to opioid use. If the psychotic disorder is due to another substance or has a different cause, choose the documented condition.

Coding tip

Confirm that the provider documents both opioid abuse and the substance-induced psychotic disorder before coding F11.15.

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