ICD-10 Code F11.181 – Opioid abuse with opioid-induced sexual dysfunction (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F11.181 – Opioid abuse with opioid-induced sexual dysfunction
What it is
Use this code for opioid abuse when the record also documents sexual dysfunction caused by the opioid use. It links the substance-use diagnosis with the specific drug-induced sexual problem.
Clinical signs
Clinical features vary; refer to documentation. Records may note reduced libido, erectile dysfunction, or other sexual performance problems attributed to opioid use.
When to use this code
Assign this code when the clinician documents opioid abuse and states that the sexual dysfunction is opioid-induced. Use it when the relationship is clearly recorded, not merely suspected. If the note does not connect the two conditions, check documentation.
Do not use for
Do not use this code for opioid dependence, remission states, or sexual dysfunction with no documented opioid cause. Also avoid it when the chart only says “sexual dysfunction” without an opioid link.
Coding tip
Look for explicit wording that the sexual dysfunction is caused by opioid abuse before assigning F11.181.