MCMCB Pro
F11

F11Opioid related disorders

Non-billable headerICD-10-CM

F11 is a non-billable header ICD-10-CM code for opioid related disorders. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with F11

These codes carry an Excludes1 note pointing at F11. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F11 alone.

  • R44Other symptoms and signs involving general sensations and perceptions
  • G47.5Parasomnia
  • F11.2Opioid dependence
  • F11.22Opioid dependence with intoxication
  • F11.93Opioid use, unspecified with withdrawal
  • F11.1Opioid abuse
  • F11.23Opioid dependence with withdrawal
  • F11.9Opioid use, unspecified

Risk adjustment

F11 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead F11

3 child codes. Green means billable.

Questions about F11

Is F11 a billable ICD-10-CM code?
No. F11 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does F11 sit in the tabular list?
Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental and behavioral disorders due to psychoactive substance use (F10-F19).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.