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
Related ICD-10 Codes
Consider these related codes based on patient presentation:
Automate Your Coding
Let OrbDoc AI automatically suggest ICD-10 codes based on your clinical documentation.
Request Demo Learn MoreCode 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 UsStreamline Your Medical Documentation
OrbDoc AI automatically generates clinical documentation and suggests appropriate ICD-10 codes, saving you hours of administrative work.