ICD-10 Code F11.250 – Opioid dependence with opioid-induced psychotic disorder with delusions (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F11.250 – Opioid dependence with opioid-induced psychotic disorder with delusions
What it is
Use this code for opioid dependence when the patient also has a psychotic disorder caused by opioid use, specifically with delusions. It indicates both the dependence and the substance-induced mental disorder are documented.
Clinical signs
Typical findings include persistent opioid dependence plus delusional thinking that is temporally linked to opioid use. Clinical features vary; refer to documentation for hallucinations, paranoia, or impaired reality testing.
When to use this code
Assign this code when the record states opioid dependence and an opioid-induced psychotic disorder with delusions. Use it when the provider links the psychosis to opioid use rather than to a primary psychotic disorder. If the documentation is unclear about causation, check documentation.
Do not use for
Do not use it for opioid use without dependence, or for psychosis not attributed to opioids. Do not use it when only withdrawal, intoxication, or a different substance-induced disorder is documented.
Coding tip
Code the dependence and the opioid-induced psychotic disorder together only when both are explicitly documented.