Z79.891

Long term (current) use of opiate analgesic

Factors influencing health status and contact with health services Not Billable (Secondary Code)
Quick Reference
Patient on chronic opioid therapy for pain management

Clinical Information

When to Use This Code

Patient on chronic opioid therapy for pain management

Common Clinical Scenarios

  • Chronic pain management with opioids
  • Cancer pain on long-term opioids
  • Post-surgical chronic opioid use
  • Opioid use disorder maintenance therapy (methadone, buprenorphine)

Documentation Requirements

  • Document specific opioid medication, dose, frequency
  • Record morphine milligram equivalents (MME) daily
  • Note PDMP (prescription drug monitoring program) check
  • Document opioid risk assessment and monitoring plan
  • Record signed opioid treatment agreement

Coding Guidelines

Inclusion Terms

These terms are included in this code:

Chronic opioid useLong-term opioid therapyNarcotic analgesic use

Exclusion Terms

Do NOT use this code for:

  • Opioid abuse (F11.1-)
  • Opioid dependence (F11.2-)
  • Acute postoperative pain management

Coding Notes

Important for MIPS opioid prescribing quality measures
Requires PDMP checks in most states
Consider tapering strategies and non-opioid alternatives

Automate Your Coding

Let OrbDoc AI automatically suggest ICD-10 codes based on your clinical documentation.

Request Demo Learn More

Code Details

Code
Z79.891
Category
Factors influencing health status and contact with health services
Billable Status
Not Billable

Need Coding Help?

Our medical coding specialists can help you navigate complex coding scenarios.

Contact Us

Streamline Your Medical Documentation

OrbDoc AI automatically generates clinical documentation and suggests appropriate ICD-10 codes, saving you hours of administrative work.