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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

Codes Adjacent To F11.91

Other codes in section F10-F19 (Mental and behavioral disorders due to psychoactive substance use).

F10 Alcohol related disorders (non-billable) F10.1 Alcohol abuse (non-billable) F10.10 Alcohol abuse, uncomplicated F10.11 Alcohol abuse, in remission F10.12 Alcohol abuse with intoxication (non-billable) F10.120 Alcohol abuse with intoxication, uncomplicated F10.121 Alcohol abuse with intoxication delirium F10.129 Alcohol abuse with intoxication, unspecified F10.13 Alcohol abuse, with withdrawal (non-billable) F10.130 Alcohol abuse with withdrawal, uncomplicated F10.131 Alcohol abuse with withdrawal delirium F10.132 Alcohol abuse with withdrawal with perceptual disturbance F10.139 Alcohol abuse with withdrawal, unspecified F10.14 Alcohol abuse with alcohol-induced mood disorder F10.15 Alcohol abuse with alcohol-induced psychotic disorder (non-billable) F10.150 Alcohol abuse with alcohol-induced psychotic disorder with delusions F10.151 Alcohol abuse with alcohol-induced psychotic disorder with hallucinations F10.159 Alcohol abuse with alcohol-induced psychotic disorder, unspecified F10.18 Alcohol abuse with other alcohol-induced disorders (non-billable) F10.180 Alcohol abuse with alcohol-induced anxiety disorder

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 August 30, 2026.

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