ICD-10 F11.29
Billable / Specific HCC v28: 55Opioid dependence with unspecified opioid-induced disorder
About ICD-10-CM F11.29
ICD-10-CM code F11.29 represents Opioid dependence with unspecified opioid-induced disorder. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F11). The 2026 edition of ICD-10-CM F11.29 became effective on October 1, 2025.
Coding Tips for F11.29
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
F11.29 is a CMS-HCC v28 risk-adjustment code (category 55). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for F11.29
Local Coverage Determinations (LCDs) from CMS MACs that list F11.29 as a covered diagnosis.
Showing top 10 of 299 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F11.29.
5 Medicare
CPT Codes Commonly Billed with F11.29
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- G0480 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- 80306 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- G0482 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- 0603U CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- 80305 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- G0659 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- G0483 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- 80307 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- G0481 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- G2215 CMS LCD: Billing and Coding: Opioid Treatment Programs CMS LCD
Convert F11.29 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| F11.29 | 2929 | 10111 |
| F11.29 | 30400 | 10112 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To F11.29
Other codes in section F10-F19 (Mental and behavioral disorders due to psychoactive substance use).
ICD-10 F11.29, Billing FAQ
Is ICD-10 code F11.29 billable? +
Yes, F11.29 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Does F11.29 affect Medicare Advantage HCC risk adjustment? +
Yes. F11.29 maps to CMS-HCC v28 category 55. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What CPT codes are commonly billed with F11.29? +
Procedures frequently paired with F11.29 include: G0480, 80306, G0482, 0603U, 80305.
What ICD-9 codes does F11.29 map to? +
Per CMS GEMs, F11.29 maps to ICD-9 codes: 2929, 30400. Useful for legacy data review and historical claim analysis.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team