ICD-10 F11
Non-Billable HeaderOpioid related disorders
About ICD-10-CM F11
ICD-10-CM code F11 represents Opioid related disorders. This is a non-billable header code in the Mental, Behavioral, and Neurodevelopmental chapter (block F11). The 2026 edition of ICD-10-CM F11 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for F11
Local Coverage Determinations (LCDs) from CMS MACs that list F11 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F11.
1 Aetna
CPT Codes Commonly Billed with F11
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 90791 Psychiatric diagnostic interview for substance abuse Internal Medicine
Codes Adjacent To F11
Other codes in section F10-F19 (Mental and behavioral disorders due to psychoactive substance use).
ICD-10 F11, Billing FAQ
Is ICD-10 code F11 billable? +
No, F11 is a non-billable header code. Use a more specific child code from block F11 when submitting claims.
What CPT codes are commonly billed with F11? +
Procedures frequently paired with F11 include: 90791.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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