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F11.282 vs G47.52

F11.282 (Opioid dependence with opioid-induced sleep disorder) compared with G47.52 (REM sleep behavior disorder), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. G47.52 carries an Excludes1 note covering F11.282: “drug induced parasomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

F11.282Opioid dependence with opioid-induced sleep disorderG47.52REM sleep behavior disorder
Billing statusBillableBillable
ClassificationF01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)G00-G99 — Diseases of the Nervous System (G00-G99)
DefinitionOpioid dependence with opioid-induced sleep disorder is a billable ICD-10-CM diagnosis code (F11.282).REM sleep behavior disorder is a billable ICD-10-CM diagnosis code (G47.52).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources