ICD-10 Code F11.259 – Opioid dependence with opioid-induced psychotic disorder, unspecified (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F11.259 – Opioid dependence with opioid-induced psychotic disorder, unspecified
What it is
This code identifies opioid dependence with a psychotic disorder caused by opioid use, but the psychosis type is not specified. Use it when the record links both opioid dependence and opioid-induced psychotic symptoms.
Clinical signs
Clinical features may include delusions, hallucinations, or markedly disorganized thinking occurring in the setting of opioid use. Clinical features vary; refer to documentation.
When to use this code
Use this code when the provider documents opioid dependence and an opioid-induced psychotic disorder, but does not name a more specific psychotic subtype. It is appropriate when the psychosis is attributed to opioids rather than a primary psychotic condition. Check documentation for the exact relationship and wording.
Do not use for
Do not use it for opioid dependence without psychosis, or for psychosis caused by another substance. Also avoid it when the record describes a primary mental disorder or a more specific opioid-induced psychotic disorder code is documented.
Coding tip
Code both the dependence and the opioid-induced psychotic disorder only when the provider clearly links them in the note.