In simple words: Opioid dependence with sleep problems means a person can't stop using opioids because their body needs more and more of the drug, and they have trouble sleeping.This can cause changes in their behavior, body, and emotions, like ignoring loved ones, changes in appetite, and unusual body odor.They might also feel tired, irritable, and have trouble focusing.Their sleep can be disrupted, making it hard to fall asleep, stay asleep, or causing daytime sleepiness, which affects their daily life.

Opioid dependence with opioid-induced sleep disorder refers to the inability to stop using opioids because the individual develops a tolerance (more and more is needed to achieve the same effect that a lesser amount previously achieved) and suffers from disturbed sleep. Patients with opioid dependence experience structural and functional changes in the brain that disturb normal brain function. Behavioral, physical, and emotional changes develop, such as ignoring friends and family, abnormal appetite, and unusual breath and body odor. Patients may experience fatigue, irritability, lack of concentration, and depression. They may remain sleepless late into the night, have trouble staying asleep, and experience drowsiness during the day, affecting work and other activities.

Example 1: A 32-year-old patient presents with difficulty sleeping, reporting frequent awakenings and daytime drowsiness. Upon further evaluation, they admit to long-term opioid use and express a desire to quit but are unable to do so. They exhibit signs of opioid dependence, such as increased tolerance and withdrawal symptoms when attempting to reduce their opioid intake. The patient is diagnosed with F11.282., A 45-year-old individual with chronic pain has been using prescribed opioids for an extended period.They report increased fatigue, irritability, and difficulty concentrating at work, along with an inability to fall asleep and stay asleep.Despite wanting to reduce opioid use, they experience withdrawal symptoms and cravings. They are diagnosed with opioid dependence with opioid-induced sleep disorder (F11.282)., A young adult presents to the ER with symptoms of opioid overdose. After stabilization, they disclose a history of opioid dependence and complain of significant sleep disturbances. They report needing larger doses of opioids to achieve the desired effect and experience withdrawal symptoms if they try to stop. The sleep disorder significantly impacts their daily life.F11.282 is diagnosed in addition to the overdose code.

Documentation should include: type of opioid used, duration and frequency of use, evidence of tolerance and withdrawal, details of sleep disturbances (onset, duration, frequency, severity), impact on daily functioning, presence of other opioid-induced disorders, and treatment plan.