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2025 ICD-10-CM code F11.982

Opioid use, unspecified with opioid-induced sleep disorder.

This code should be used when the patient's opioid use is not characterized as abuse or dependence, and the sleep disorder is attributed to the opioid use.

Medical necessity is established by the presence of a sleep disorder caused by opioid use, impacting the patient's quality of life and requiring medical intervention.

Providers diagnose the condition based on the patient’s history, signs and symptoms, a detailed inquiry into the individual’s personal and social behavior, and physical examination. Laboratory studies may include blood tests for opioid levels. Diagnostic tests include polysomnography and electroencephalogram. Treatment approaches include behavioral therapy, counseling, and administration of naloxone to block the effect of the drug if the patient is intoxicated.

In simple words: This code describes a condition where a person's opioid use, which hasn't been specified as abuse or dependence, is causing problems with their sleep.

Unspecified opioid use with opioid-induced sleep disorder refers to excessive consumption of opioids developing into behavioral, physical, and emotional changes that may affect relationships and work responsibilities. Individuals experience decreased or disturbed sleep.

Example 1: A patient presents with insomnia and daytime fatigue. Upon further investigation, the physician discovers the patient has been using opioids regularly for pain management, although not to the extent of abuse or dependence. The patient is diagnosed with opioid-induced sleep disorder., A patient undergoing treatment for chronic pain with opioid medication reports difficulty falling asleep and staying asleep. They deny any symptoms of opioid abuse or dependence.The physician documents opioid use, unspecified with opioid-induced sleep disorder., A patient is admitted to the hospital for an unrelated condition. During the admission, it is noted they use opioids regularly and exhibit symptoms of a sleep disorder. The patient denies excessive opioid use, and no signs of opioid abuse or dependence are present. The physician documents unspecified opioid use with opioid-induced sleep disorder as a secondary diagnosis.

Documentation should include evidence of opioid use, details of the sleep disturbance (e.g., insomnia, hypersomnia, abnormal sleep behaviors), and the absence of opioid abuse or dependence.

** Excludes1: opioid abuse (F11.1-) and opioid dependence (F11.2-)

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