ICD-10 Code F11.122 – Opioid abuse with intoxication with perceptual disturbance (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F11.122 – Opioid abuse with intoxication with perceptual disturbance
What it is
This code identifies opioid abuse with intoxication that includes perceptual disturbance, such as altered perception of reality. Use it when the record links opioid misuse to intoxication and related sensory or perceptual changes.
Clinical signs
Clinical features vary; refer to documentation. Typical notes may describe intoxication, impaired judgment, and perceptual disturbance such as hallucinations or misperceptions associated with opioid use.
When to use this code
Use this code when the clinician documents opioid abuse and states that intoxication is present with perceptual disturbance. The chart should connect the mental status change to opioid use, not another substance or medical cause. If the record only says opioid use without abuse or intoxication details, check documentation.
Do not use for
Do not use this code for opioid dependence, uncomplicated opioid abuse, or opioid intoxication without perceptual disturbance. Also avoid it when the perceptual symptoms are better explained by another diagnosis.
Coding tip
Code the highest level of specificity documented, and verify that both abuse and intoxication with perceptual disturbance are explicitly stated.