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2025 ICD-10-CM code F11.150

Opioid abuse with opioid-induced psychotic disorder with delusions.

Ensure the documentation clearly differentiates between opioid abuse and opioid dependence.If dependence is present, use the appropriate F11.2- code instead. Document the specific type of delusion present.

Medical necessity for treatment is established by the presence of opioid abuse causing impairment in daily functioning and co-occurring psychotic disorder with delusions requiring intervention to improve overall well-being and reduce harm.

Clinicians diagnose this condition based on patient history, signs and symptoms, a thorough assessment of personal and social behavior, and physical examination, using criteria from the Diagnostic and Statistical Manual of Mental Disorders (DSM). Treatment may include behavioral therapy, counseling, group therapy, residential treatment, and naloxone administration for opioid intoxication.

In simple words: Opioid abuse with opioid-induced psychosis with delusions means someone is using opioids too much, which is hurting their life and causing them to have false beliefs that are not based in reality. They might neglect their responsibilities, take dangerous risks, and struggle with work, school, family, and social life.

This condition refers to the excessive use of opioids, impacting daily life, coupled with a psychotic disorder characterized by delusions.The opioid abuse negatively affects work, school, family, and social life, leading to neglect of responsibilities and risky behaviors.The associated psychosis manifests as a fixed false belief despite evidence to the contrary.Delusions can vary in nature, including persecutory, grandiose, or erotic themes.

Example 1: A patient presents with a history of opioid abuse and now exhibits grandiose delusions, believing they have special powers and are immune to harm. They neglect their work and family responsibilities and engage in risky behaviors., An individual struggling with opioid addiction begins experiencing persecutory delusions, convinced they are being followed and plotted against. Their fear and paranoia escalate, leading to social isolation and further opioid use., A patient with long-term opioid abuse develops erotic delusions, falsely believing a celebrity is in love with them. Their preoccupation with this delusion disrupts their daily life and exacerbates their opioid dependence.

Documentation should include evidence of opioid abuse, detailed descriptions of the delusional content, impact on daily functioning (work, school, family, social), relevant medical history, and mental status examination findings.

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