F11.92 vs F11.93
F11.92 (Opioid use, unspecified with intoxication) compared with F11.93 (Opioid use, unspecified with withdrawal), 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. F11.92 carries an Excludes1 note covering F11.93: “opioid use, unspecified with withdrawal (F11.93)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. F11.93 carries an Excludes1 note covering F11.92: “opioid use, unspecified with intoxication (F11.92-)”
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
| F11.92Opioid use, unspecified with intoxication | F11.93Opioid use, unspecified with withdrawal | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) |
| Definition | Opioid use, unspecified with intoxication is a non-billable ICD-10-CM category code (F11.92). | Opioid use, unspecified with withdrawal is a billable ICD-10-CM diagnosis code (F11.93). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources