ICD-10 Code F11.251 – Opioid dependence with opioid-induced psychotic disorder with hallucinations (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F11.251 – Opioid dependence with opioid-induced psychotic disorder with hallucinations
What it is
This code identifies opioid dependence accompanied by a psychotic disorder caused by opioid use, with hallucinations. Use it when the record shows both dependence and hallucinations linked to opioids.
Clinical signs
Typical findings include opioid dependence plus hallucinations, with other psychotic symptoms possible. Clinical features vary; refer to documentation, and confirm the psychotic disorder is substance-induced rather than primary.
When to use this code
Use F11.251 when the clinician documents opioid dependence and specifically states opioid-induced psychotic disorder with hallucinations. It may also fit when hallucinations are attributed to opioid use in a dependent patient.
Code the documented relationship clearly; you should not infer causation from drug use alone. If the note does not confirm hallucinations or substance-induced psychosis, check documentation before assigning this code.
Do not use for
Do not use this code for opioid dependence without psychosis, or for hallucinations from another cause. Check documentation if the record only mentions intoxication, withdrawal, or an unspecified mental disorder.
Coding tip
Verify that both dependence and opioid-induced hallucinations are documented in the same encounter, and avoid coding a primary psychotic disorder when the cause is substance-related.