ICD-10 Code F11.25 – Opioid dependence with opioid-induced psychotic disorder (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F11.25 – Opioid dependence with opioid-induced psychotic disorder
What it is
Use this code for opioid dependence when the patient also has a psychotic disorder caused by opioid use. It identifies both the substance use disorder and the opioid-induced mental disorder.
Clinical signs
Clinical features vary; refer to documentation. Typical findings may include delusions, hallucinations, or disorganized thinking occurring in the setting of opioid use or withdrawal.
When to use this code
Use F11.25 when the record clearly states opioid dependence with an opioid-induced psychotic disorder. Code it when the psychosis is documented as due to opioids, not a primary psychiatric condition.
Apply this code when the clinician links the psychotic symptoms to opioid use and documents dependence. Check documentation if the record only notes opioid use, intoxication, or an unspecified mental disorder.
Do not use for
Do not use this code for opioid abuse, uncomplicated dependence, or psychosis from another cause. If the psychotic disorder is not specified as opioid-induced, check documentation.
Coding tip
Confirm that both opioid dependence and opioid-induced psychotic disorder are documented before assigning F11.25.