F11.982 Opioid use, unspecified with opioid-induced sleep disorder

Billable ICD-10-CM code, FY2026.

Applicable to

• Opioid induced sleep disorder, without use disorder

Applies from F11.9 Opioid use, unspecified

Excludes1 (never code together)

• opioid abuse (F11.1-)
• opioid dependence (F11.2-)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 137 — Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications
• CMS-HCC V22: HCC 55 — Drug/Alcohol Dependence
• ESRD V24: HCC 55

MS-DRG index

Defines the logic of DRG(s) 894-897 in MDC 20.

Approximate ICD-9-CM (GEMs)

• 292.85 Drug induced sleep disorders (approximate)

Code annotations containing back-references to F11.982

Back-references to F11.982

• Type 2 Excludes: F51.0 Insomnia not due to a substance or known physiological condition ("drug-related insomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)")
• Type 2 Excludes: F51.1 Hypersomnia not due to a substance or known physiological condition ("drug-related hypersomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)")
• Type 2 Excludes: G47.0 Insomnia ("drug-related insomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)")
• Type 2 Excludes: G47.1 Hypersomnia ("drug-related hypersomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)")
• Type 1 Excludes: G47.5 Parasomnia ("drug induced parasomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)")

Back-references to F11.9

• Type 1 Excludes: F11.1 Opioid abuse ("opioid use, unspecified (F11.9-)")
• Type 1 Excludes: F11.2 Opioid dependence ("opioid use, unspecified (F11.9-)")
• Type 1 Excludes: Z79.891 Long term (current) use of opiate analgesic ("methodone use NOS (F11.9-)")

Back-references to F11

• Type 2 Excludes: F02 Dementia in other diseases classified elsewhere ("dementia in alcohol and psychoactive substance disorders (F10-F19, with .17, .27, .97)")
• Type 2 Excludes: F06 Other mental disorders due to known physiological condition ("other mental disorders associated with alcohol and other psychoactive substances (F10-F19)")
• Type 2 Excludes: F06.0 Psychotic disorder with hallucinations due to known physiological condition ("hallucinations and perceptual disturbance induced by alcohol and other psychoactive substances (F10-F19 with .151, .251, .951)")
• Type 2 Excludes: F06.2 Psychotic disorder with delusions due to known physiological condition ("alcohol and drug-induced psychotic disorder (F10-F19 with .150, .250, .950)")
• Type 2 Excludes: F06.3 Mood disorder due to known physiological condition ("mood disorders due to alcohol and other psychoactive substances (F10-F19 with .14, .24, .94)")
• Type 2 Excludes: F06.4 Anxiety disorder due to known physiological condition ("anxiety disorders due to alcohol and other psychoactive substances (F10-F19 with .180, .280, .980)")
• Type 2 Excludes: F20 Schizophrenia ("psychoactive drug use (F11-F19 with .15. .25, .95)")
• Type 2 Excludes: F55 Abuse of non-psychoactive substances ("abuse of psychoactive substances (F10-F19)")
• Type 2 Excludes: F63 Impulse disorders ("habitual excessive use of alcohol or psychoactive substances (F10-F19)")
• Type 2 Excludes: F63.1 Pyromania ("alcohol or psychoactive substance intoxication (F10-F19)")
• Use Additional: K85.3 Drug induced acute pancreatitis ("code to identify drug abuse and dependence (F11.-F17.-)")
• Use Additional: O99.32 Drug use complicating pregnancy, childbirth, and the puerperium ("code(s) from F11-F16 and F18-F19 to identify manifestations of the drug use")
• Type 1 Excludes: R41.3 Other amnesia ("amnestic syndrome due to psychoactive substance use (F10-F19 with 5th character .6)")
• Type 1 Excludes: R44 Other symptoms and signs involving general sensations and perceptions ("hallucinations in drug psychosis (F11-F19 with fifth to sixth characters 51)")
• Type 2 Excludes: R78 Findings of drugs and other substances, not normally found in blood ("mental or behavioral disorders due to psychoactive substance use (F10-F19)")
• Use Additional: Z71.5 Drug abuse counseling and surveillance ("code for drug abuse or dependence (F11-F16, F18-F19)")
• Type 2 Excludes: Z79 Long term (current) drug therapy ("drug abuse and dependence (F11-F19)")

Diagnosis Index entries for F11.982

• Disorder (of) › sleep › circadian rhythm › due to › opioid › use
• Disorder (of) › sleep › due to › opioid › use
• Hypersomnia (organic) › due to › opioid › use
• Insomnia (organic) › due to › opioid › use
• Opioid (s) › induced, without use disorder › sleep disorder
• Parasomnia › due to › opioid › use
• Use (of) › opioid › with › disorder › sleep

Nearby codes

• F11.950 Opioid use, unspecified with opioid-induced psychotic disorder with delusions
• F11.951 Opioid use, unspecified with opioid-induced psychotic disorder with hallucinations
• F11.959 Opioid use, unspecified with opioid-induced psychotic disorder, unspecified
• F11.98 Opioid use, unspecified with other specified opioid-induced disorder
• F11.981 Opioid use, unspecified with opioid-induced sexual dysfunction
• F11.982 Opioid use, unspecified with opioid-induced sleep disorder (this code)
• F11.988 Opioid use, unspecified with other opioid-induced disorder
• F11.99 Opioid use, unspecified with unspecified opioid-induced disorder