Z79.891 Long term (current) use of opiate analgesic

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applicable to

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

Excludes1 (never code together)

• methodone use NOS (F11.9-)
• use of methodone for treatment of heroin addiction (F11.2-)

Applies from Z79 Long term (current) drug therapy

Includes

• long term (current) drug use for prophylactic purposes

Excludes2 (not included here)

• drug abuse and dependence (F11-F19)
• drug use complicating pregnancy, childbirth, and the puerperium (O99.32-)

Code also

• any therapeutic drug level monitoring (Z51.81)

MS-DRG index

Defines the logic of DRG(s) 949-950 in MDC 23.

Approximate ICD-9-CM (GEMs)

• V58.69 Long-term (current) use of other medications (approximate)

Code annotations containing back-references to Z79.891

Back-references to Z79

• Code Also: Z51.81 Encounter for therapeutic drug level monitoring ("any long-term (current) drug therapy (Z79.-)")
• Type 2 Excludes: Z92.2 Personal history of drug therapy ("long term (current) drug therapy (Z79.-)")

Diagnosis Index entries for Z79.891

• 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

Nearby codes

• 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
• Z79.891 Long term (current) use of opiate analgesic (this code)
• Z79.899 Other long term (current) drug therapy