ICD-10 Code F11.95 – Opioid use, unspecified with opioid-induced psychotic disorder (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F11.95 – Opioid use, unspecified with opioid-induced psychotic disorder
What it is
This code identifies opioid use disorder when the patient also has a psychotic disorder caused by opioid use. Use it when the opioid-related psychosis is documented, but the opioid use pattern is not otherwise specified.
Clinical signs
Clinical features may include hallucinations, delusions, or markedly disorganized thinking linked to opioid use. Clinical features vary; refer to documentation for the specific psychotic presentation and whether it is judged substance-induced.
When to use this code
Use this code when the record clearly states opioid use, unspecified, with opioid-induced psychotic disorder. It is appropriate when the clinician attributes the psychosis to opioid use and does not document a more specific opioid use disorder code.
Check documentation if the chart only mentions intoxication, withdrawal, or an unspecified mental status change without a psychotic disorder diagnosis. You should code the documented condition, not infer opioid-induced psychosis from suspicion alone.
Do not use for
Do not use this code for psychosis unrelated to opioids or for opioid use without a documented psychotic disorder. Do not use it when a more specific opioid use disorder code is supported by the record.
Coding tip
Verify that both opioid use and the opioid-induced psychotic disorder are explicitly documented before assigning F11.95.