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ICD-10/Z79.891

Z79.891 ICD-10-CM Code: Long term (current) use of opiate analgesic

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.

Official Registry Overview & Definition

Long term (current) use of opiate analgesic is a billable ICD-10-CM diagnosis code (Z79.891).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for Z79.891 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • long term (current) drug use for prophylactic purposes

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Long term (current) use of methadone for pain management

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

  • methadone use NOS (F11.9-)
  • use of methadone for treatment of heroin addiction (F11.2-)
  • drug abuse and dependence (F11-F19)
  • drug use complicating pregnancy, childbirth, and the puerperium (O99.32-)

Code Also

Additional codes that may be required to fully describe the encounter.

  • any therapeutic drug level monitoring (Z51.81)
  • any follow-up examination (Z08-Z09)

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Z79.891 in its code family, with their registry titles.

  • Z79.810 — Long term (current) use of selective estrogen receptor modulators (SERMs)
  • Z79.811 — Long term (current) use of aromatase inhibitors
  • Z79.818 — Long term (current) use of other agents affecting estrogen receptors and estrogen levels
  • Z79.82 — Long term (current) use of aspirin
  • Z79.83 — Long term (current) use of bisphosphonates
  • Z79.84 — Long term (current) use of oral hypoglycemic drugs
  • Z79.85 — Long-term (current) use of injectable non-insulin antidiabetic drugs
  • Z79.89 — Other long term (current) drug therapy
  • Z79.890 — Hormone replacement therapy
  • Z79.899 — Other long term (current) drug therapy

View all codes in the Z79 family

Indexed Clinical Terms (4)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Long-term (current) (prophylactic) drug therapy (use of), methadone for pain management
  • Long-term (current) (prophylactic) drug therapy (use of), opiate analgesic
  • Therapy, drug, long-term (current) (prophylactic), methadone, for pain management
  • Therapy, drug, long-term (current) (prophylactic), opiate analgesic