Substance Related Disorders, in Remission

New diagnosis codes have been created to identify “in remission,” for abuse of the following substances: Alcohol (F10.11) Opioid  (F11.11) Cannabis (F12.11) Sedative, hypnotic or anxiolytic (F13.11) Cocaine (F14.11) Other stimulant (F15.11) Hallucinogen (F16.11) Inhalant (F18.11) Other psychoactive substance (F19.11) Prior to this change, ICD-10-CM included codes for “in remission” for substance dependence, but not for substance abuse. The new codes for substance abuse in remission have inclusion terms for substance use disorder specified as “mild in early remission” and “mild, in sustained remission.&rdquo...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews changes to ICD-10-CM substance-related disorder coding for remission status and the corresponding documentation guidance in the Official Guidelines for Coding and Reporting. It is intended for coders, compliance staff, and clinical documentation professionals who need to understand how these updates align with DSM-5 terminology and how the affected substance categories are organized in the classification.

Why This Topic Matters

Remission status affects diagnosis reporting, documentation review, and how substance-related disorders are represented in the medical record. Understanding these ICD-10-CM updates helps coding and documentation teams apply the revised terminology consistently and keep reporting aligned with current guidance.

What You Will Learn

  • Which substance-related disorder categories were updated for remission reporting
  • How the article relates ICD-10-CM terminology to DSM-5 language
  • What documentation guidance was revised for remission reporting
  • How the updates affect substance abuse and dependence classifications

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinical documentation specialists
  • Compliance teams
  • Behavioral health professionals

Codes Discussed

  • ICD-10-CM: F10.11
  • ICD-10-CM: F11.11
  • ICD-10-CM: F12.11
  • ICD-10-CM: F13.11
  • ICD-10-CM: F14.11
  • ICD-10-CM: F15.11
  • ICD-10-CM: F16.11
  • ICD-10-CM: F18.11
  • ICD-10-CM: F19.11

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