ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 F11.91

Billable / Specific

Opioid use, unspecified, in remission

F11
Block
0
Synonyms
165
LCDs
10
Payer Policies
20
Linked CPTs

About ICD-10-CM F11.91

ICD-10-CM code F11.91 represents Opioid use, unspecified, in remission. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F11). The 2026 edition of ICD-10-CM F11.91 became effective on October 1, 2025.

Medicare LCD Coverage for F11.91

Local Coverage Determinations (LCDs) from CMS MACs that list F11.91 as a covered diagnosis.

165 LCDs

Showing top 10 of 165 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0156 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0299 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0152 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0155 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0300 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT 90847 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT G0560 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT G0017 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT 90837 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F11.91.

10 policies

5 Medicare

Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-56614
Billing and Coding: Home Health - Psychiatric Care
Policy ID: ART-56756
Billing and Coding: Urine Drug Testing
Policy ID: ART-56818
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-56937
Billing and Coding: Outpatient Psychiatry and Psychology Services
Policy ID: ART-57065

CPT Codes Commonly Billed with F11.91

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

20 linkages
  • G2215 CMS LCD: Billing and Coding: Opioid Treatment Programs CMS LCD
  • G2073 CMS LCD: Billing and Coding: Opioid Treatment Programs CMS LCD
  • G2067 CMS LCD: Billing and Coding: Opioid Treatment Programs CMS LCD
  • G2079 CMS LCD: Billing and Coding: Opioid Treatment Programs CMS LCD
  • G0137 CMS LCD: Billing and Coding: Opioid Treatment Programs CMS LCD
  • G2080 CMS LCD: Billing and Coding: Opioid Treatment Programs CMS LCD
  • G2075 CMS LCD: Billing and Coding: Opioid Treatment Programs CMS LCD
  • G2068 CMS LCD: Billing and Coding: Opioid Treatment Programs CMS LCD
  • G2074 CMS LCD: Billing and Coding: Opioid Treatment Programs CMS LCD
  • G0534 CMS LCD: Billing and Coding: Opioid Treatment Programs CMS LCD

ICD-10 F11.91, Billing FAQ

Is ICD-10 code F11.91 billable? +

Yes, F11.91 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with F11.91? +

Procedures frequently paired with F11.91 include: G2215, G2073, G2067, G2079, G0137.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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