ICD-10 Code F11.151 – Opioid abuse with opioid-induced psychotic disorder with hallucinations (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F11.151 – Opioid abuse with opioid-induced psychotic disorder with hallucinations
What it is
F11.151 identifies opioid abuse complicated by an opioid-induced psychotic disorder with hallucinations. Use it when the psychosis is documented as caused by opioid use and hallucinations are specifically present.
Clinical signs
Typical findings include hallucinations, disturbed perception, and other psychotic symptoms that arise during opioid misuse. Clinical features vary; refer to documentation for the relationship to opioid use and the presence of hallucinations.
When to use this code
Use this code when the record clearly states opioid abuse and an opioid-induced psychotic disorder with hallucinations. It fits encounters where the clinician links hallucinations to opioid use rather than to a primary psychotic disorder or another substance.
Check documentation for whether the condition is abuse, dependence, or use, because the substance-use category must match the provider’s diagnosis. If hallucinations are not documented, or the psychosis is unrelated to opioids, choose a different code.
Do not use for
Do not use this code for opioid dependence, uncomplicated opioid use, or psychosis without hallucinations. Also avoid it when the hallucinations are attributed to another cause. Check documentation.
Coding tip
Confirm both the opioid abuse diagnosis and the hallucinations link before assigning F11.151.