2022 CDC Clinical Practice Guideline for Prescribing Opioids Implementation Guide
2022.1.0 - CI Build
2022 CDC Clinical Practice Guideline for Prescribing Opioids Implementation Guide, published by Centers for Disease Control and Prevention (CDC). This guide is not an authorized publication; it is the continuous build for version 2022.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/opioid-cds-r4/ and changes regularly. See the Directory of published versions
| Official URL: http://fhir.org/guides/cdc/opioid-cds/ValueSet/opioid-misuse-disorders | Version: 2022.1.0 | |||
| Active as of 2023-05-25 | Computable Name: OPIOID_MISUSE_DISORDERS | |||
Copyright/Legal: © CDC 2016+. |
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Conditions indicating opioid misuse
Conditions that may indicate need for opioid management
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
Profiles: CPGComputableValueSet, CPGExecutableValueSet
This value set includes codes based on the following rules:
http://snomed.info/sct where concept is-a 5602001 (Opioid abuse)http://snomed.info/sct where concept is-a 75544000 (Opioid dependence)http://snomed.info/sct where concept is-a 87132004 (Opioid withdrawal)http://snomed.info/sct where concept is-a 29733004 (Opioid-induced mood disorder)http://snomed.info/sct where concept is-a 1148649003 (Poisoning caused by opioid receptor agonist)http://snomed.info/sct where concept is-a 70545002 (Narcotic drug user)http://hl7.org/fhir/sid/icd-10-cm where concept is-a F11 (Opioid related disorders)
Expansion based on:
This value set expansion contains 212 concepts.
| Code | System | Display |
| 5602001 | http://snomed.info/sct | Opioid abuse (disorder) |
| 191909007 | http://snomed.info/sct | Nondependent opioid abuse (disorder) |
| 191912005 | http://snomed.info/sct | Nondependent opioid abuse, continuous (disorder) |
| 191913000 | http://snomed.info/sct | Nondependent opioid abuse, episodic (disorder) |
| 191914006 | http://snomed.info/sct | Nondependent opioid abuse in remission (disorder) |
| 145121000119106 | http://snomed.info/sct | Intravenous nondependent opioid abuse (disorder) |
| 520841000124109 | http://snomed.info/sct | Diamorphine abuse (disorder) |
| 75544000 | http://snomed.info/sct | Opioid dependence (disorder) |
| 191819002 | http://snomed.info/sct | Continuous opioid dependence (disorder) |
| 191820008 | http://snomed.info/sct | Episodic opioid dependence (disorder) |
| 191821007 | http://snomed.info/sct | Opioid dependence in remission (disorder) |
| 231477003 | http://snomed.info/sct | Dependence on diamorphine (disorder) |
| 231478008 | http://snomed.info/sct | Methadone dependence (disorder) |
| 231479000 | http://snomed.info/sct | Morphine dependence (disorder) |
| 231480002 | http://snomed.info/sct | Opium dependence (disorder) |
| 426001001 | http://snomed.info/sct | Fentanyl dependence (disorder) |
| 703845008 | http://snomed.info/sct | Buprenorphine dependence (disorder) |
| 1255013006 | http://snomed.info/sct | Combined opioid with non-opioid substance dependence (disorder) |
| 1255015004 | http://snomed.info/sct | Combined opioid with non-opioid substance dependence, episodic (disorder) |
| 1255018002 | http://snomed.info/sct | Combined opioid with non-opioid substance dependence, continuous (disorder) |
| 1255019005 | http://snomed.info/sct | Combined opioid with non-opioid substance dependence in remission (disorder) |
| 1081000119105 | http://snomed.info/sct | Opioid dependence, on agonist therapy (disorder) |
| 87132004 | http://snomed.info/sct | Opioid withdrawal syndrome (disorder) |
| 703846009 | http://snomed.info/sct | Buprenorphine withdrawal syndrome (disorder) |
| 29733004 | http://snomed.info/sct | Mood disorder caused by opioid (disorder) |
| 762320004 | http://snomed.info/sct | Mood disorder with manic symptoms caused by opioid (disorder) |
| 762321000 | http://snomed.info/sct | Mood disorder with depressive symptoms caused by opioid (disorder) |
| 762322007 | http://snomed.info/sct | Mood disorder with mixed depressive and manic symptoms caused by opioid (disorder) |
| 288851000119106 | http://snomed.info/sct | Opioid-induced mood disorder due to opioid abuse (disorder) |
| 288861000119108 | http://snomed.info/sct | Opioid-induced mood disorder due to opioid dependence (disorder) |
| 1148649003 | http://snomed.info/sct | Poisoning caused by opioid receptor agonist (disorder) |
| 12898000 | http://snomed.info/sct | Poisoning caused by pentazocine (disorder) |
| 13187008 | http://snomed.info/sct | Poisoning caused by heroin (disorder) |
| 18052008 | http://snomed.info/sct | Poisoning caused by meperidine (disorder) |
| 18768006 | http://snomed.info/sct | Phenanthrene derivative poisoning (disorder) |
| 47836003 | http://snomed.info/sct | Poisoning caused by morphine (disorder) |
| 52866005 | http://snomed.info/sct | Opioid intoxication delirium (disorder) |
| 60199004 | http://snomed.info/sct | Poisoning caused by methadone (disorder) |
| 68099003 | http://snomed.info/sct | Poisoning caused by codeine (disorder) |
| 77721001 | http://snomed.info/sct | Opioid intoxication (disorder) |
| 216463005 | http://snomed.info/sct | Accidental poisoning caused by heroin (disorder) |
| 216464004 | http://snomed.info/sct | Accidental poisoning caused by methadone (disorder) |
| 216466002 | http://snomed.info/sct | Accidental poisoning caused by codeine (disorder) |
| 216467006 | http://snomed.info/sct | Accidental poisoning caused by pethidine (disorder) |
| 216468001 | http://snomed.info/sct | Accidental poisoning caused by morphine (disorder) |
| 216469009 | http://snomed.info/sct | Accidental poisoning caused by opium (disorder) |
| 216494005 | http://snomed.info/sct | Accidental poisoning caused by pentazocine (disorder) |
| 241750009 | http://snomed.info/sct | Poisoning caused by dihydrocodeine (disorder) |
| 242253008 | http://snomed.info/sct | Overdose of opiate (disorder) |
| 242829007 | http://snomed.info/sct | Intentional diamorphine overdose (disorder) |
| 242830002 | http://snomed.info/sct | Intentional dihydrocodeine overdose (disorder) |
| 242831003 | http://snomed.info/sct | Intentional methadone overdose (disorder) |
| 290151009 | http://snomed.info/sct | Intentional pentazocine poisoning (disorder) |
| 290153007 | http://snomed.info/sct | Phenazocine poisoning (disorder) |
| 290154001 | http://snomed.info/sct | Accidental phenazocine poisoning (disorder) |
| 290155000 | http://snomed.info/sct | Intentional phenazocine poisoning (disorder) |
| 290157008 | http://snomed.info/sct | Methadone analog poisoning (disorder) |
| 290158003 | http://snomed.info/sct | Dextromoramide poisoning (disorder) |
| 290159006 | http://snomed.info/sct | Accidental dextromoramide poisoning (disorder) |
| 290160001 | http://snomed.info/sct | Intentional dextromoramide poisoning (disorder) |
| 290162009 | http://snomed.info/sct | Dextropropoxyphene poisoning (disorder) |
| 290163004 | http://snomed.info/sct | Accidental dextropropoxyphene poisoning (disorder) |
| 290164005 | http://snomed.info/sct | Intentional dextropropoxyphene poisoning (disorder) |
| 290166007 | http://snomed.info/sct | Dipipanone poisoning (disorder) |
| 290167003 | http://snomed.info/sct | Accidental dipipanone poisoning (disorder) |
| 290168008 | http://snomed.info/sct | Intentional dipipanone poisoning (disorder) |
| 290171000 | http://snomed.info/sct | Intentional methadone poisoning (disorder) |
| 290173002 | http://snomed.info/sct | Morphinan opioid poisoning (disorder) |
| 290174008 | http://snomed.info/sct | Buprenorphine poisoning (disorder) |
| 290175009 | http://snomed.info/sct | Accidental buprenorphine poisoning (disorder) |
| 290176005 | http://snomed.info/sct | Intentional buprenorphine poisoning (disorder) |
| 290179003 | http://snomed.info/sct | Intentional poisoning caused by codeine (disorder) |
| 290182008 | http://snomed.info/sct | Intentional heroin poisoning (disorder) |
| 290184009 | http://snomed.info/sct | Accidental poisoning caused by dihydrocodeine (disorder) |
| 290185005 | http://snomed.info/sct | Intentional poisoning caused by dihydrocodeine (disorder) |
| 290188007 | http://snomed.info/sct | Nalbuphine poisoning (disorder) |
| 290189004 | http://snomed.info/sct | Accidental nalbuphine poisoning (disorder) |
| 290190008 | http://snomed.info/sct | Intentional nalbuphine poisoning (disorder) |
| 290193005 | http://snomed.info/sct | Intentional morphine poisoning (disorder) |
| 290196002 | http://snomed.info/sct | Pethidine analog poisoning (disorder) |
| 290197006 | http://snomed.info/sct | Alfentanil poisoning (disorder) |
| 290198001 | http://snomed.info/sct | Accidental alfentanil poisoning (disorder) |
| 290199009 | http://snomed.info/sct | Intentional alfentanil poisoning (disorder) |
| 290201006 | http://snomed.info/sct | Fentanyl poisoning (disorder) |
| 290202004 | http://snomed.info/sct | Accidental fentanyl poisoning (disorder) |
| 290203009 | http://snomed.info/sct | Intentional fentanyl poisoning (disorder) |
| 290206001 | http://snomed.info/sct | Intentional pethidine poisoning (disorder) |
| 290208000 | http://snomed.info/sct | Phenoperidine poisoning (disorder) |
| 290209008 | http://snomed.info/sct | Accidental phenoperidine poisoning (disorder) |
| 290210003 | http://snomed.info/sct | Intentional phenoperidine poisoning (disorder) |
| 290212006 | http://snomed.info/sct | Meptazinol poisoning (disorder) |
| 290213001 | http://snomed.info/sct | Accidental meptazinol poisoning (disorder) |
| 290214007 | http://snomed.info/sct | Intentional meptazinol poisoning (disorder) |
| 290216009 | http://snomed.info/sct | Levorphanol poisoning (disorder) |
| 290217000 | http://snomed.info/sct | Accidental levorphanol poisoning (disorder) |
| 290218005 | http://snomed.info/sct | Intentional levorphanol poisoning (disorder) |
| 295140007 | http://snomed.info/sct | Pentazocine overdose (disorder) |
| 295141006 | http://snomed.info/sct | Accidental pentazocine overdose (disorder) |
| 295142004 | http://snomed.info/sct | Intentional pentazocine overdose (disorder) |
| 295144003 | http://snomed.info/sct | Phenazocine overdose (disorder) |
| 295145002 | http://snomed.info/sct | Accidental phenazocine overdose (disorder) |
| 295146001 | http://snomed.info/sct | Intentional phenazocine overdose (disorder) |
| 295148000 | http://snomed.info/sct | Methadone analog overdose (disorder) |
| 295149008 | http://snomed.info/sct | Dextromoramide overdose (disorder) |
| 295150008 | http://snomed.info/sct | Accidental dextromoramide overdose (disorder) |
| 295151007 | http://snomed.info/sct | Intentional dextromoramide overdose (disorder) |
| 295153005 | http://snomed.info/sct | Dextropropoxyphene overdose (disorder) |
| 295154004 | http://snomed.info/sct | Accidental dextropropoxyphene overdose (disorder) |
| 295155003 | http://snomed.info/sct | Intentional dextropropoxyphene overdose (disorder) |
| 295157006 | http://snomed.info/sct | Dipipanone overdose (disorder) |
| 295158001 | http://snomed.info/sct | Accidental dipipanone overdose (disorder) |
| 295159009 | http://snomed.info/sct | Intentional dipipanone overdose (disorder) |
| 295161000 | http://snomed.info/sct | Methadone overdose (disorder) |
| 295163002 | http://snomed.info/sct | Accidental methadone overdose (disorder) |
| 295165009 | http://snomed.info/sct | Morphinan opioid overdose (disorder) |
| 295166005 | http://snomed.info/sct | Buprenorphine overdose (disorder) |
| 295167001 | http://snomed.info/sct | Accidental buprenorphine overdose (disorder) |
| 295168006 | http://snomed.info/sct | Intentional buprenorphine overdose (disorder) |
| 295170002 | http://snomed.info/sct | Overdose of codeine (disorder) |
| 295171003 | http://snomed.info/sct | Accidental overdose by codeine (disorder) |
| 295172005 | http://snomed.info/sct | Intentional overdose by codeine (disorder) |
| 295174006 | http://snomed.info/sct | Heroin overdose (disorder) |
| 295175007 | http://snomed.info/sct | Accidental heroin overdose (disorder) |
| 295177004 | http://snomed.info/sct | Overdose of dihydrocodeine (disorder) |
| 295178009 | http://snomed.info/sct | Accidental overdose by dihydrocodeine (disorder) |
| 295180003 | http://snomed.info/sct | Nalbuphine overdose (disorder) |
| 295181004 | http://snomed.info/sct | Accidental nalbuphine overdose (disorder) |
| 295182006 | http://snomed.info/sct | Intentional nalbuphine overdose (disorder) |
| 295184007 | http://snomed.info/sct | Morphine overdose (disorder) |
| 295185008 | http://snomed.info/sct | Accidental morphine overdose (disorder) |
| 295186009 | http://snomed.info/sct | Intentional morphine overdose (disorder) |
| 295188005 | http://snomed.info/sct | Pethidine analog overdose (disorder) |
| 295189002 | http://snomed.info/sct | Alfentanil overdose (disorder) |
| 295190006 | http://snomed.info/sct | Accidental alfentanil overdose (disorder) |
| 295191005 | http://snomed.info/sct | Intentional alfentanil overdose (disorder) |
| 295193008 | http://snomed.info/sct | Fentanyl overdose (disorder) |
| 295194002 | http://snomed.info/sct | Accidental fentanyl overdose (disorder) |
| 295195001 | http://snomed.info/sct | Intentional fentanyl overdose (disorder) |
| 295197009 | http://snomed.info/sct | Pethidine overdose (disorder) |
| 295198004 | http://snomed.info/sct | Accidental pethidine overdose (disorder) |
| 295199007 | http://snomed.info/sct | Intentional pethidine overdose (disorder) |
| 295201009 | http://snomed.info/sct | Phenoperidine overdose (disorder) |
| 295202002 | http://snomed.info/sct | Accidental phenoperidine overdose (disorder) |
| 295203007 | http://snomed.info/sct | Intentional phenoperidine overdose (disorder) |
| 295205000 | http://snomed.info/sct | Meptazinol overdose (disorder) |
| 295206004 | http://snomed.info/sct | Accidental meptazinol overdose (disorder) |
| 295207008 | http://snomed.info/sct | Intentional meptazinol overdose (disorder) |
| 295209006 | http://snomed.info/sct | Levorphanol overdose (disorder) |
| 295210001 | http://snomed.info/sct | Accidental levorphanol overdose (disorder) |
| 295211002 | http://snomed.info/sct | Intentional levorphanol overdose (disorder) |
| 297199006 | http://snomed.info/sct | Accidental overdose of opiate (disorder) |
| 432353006 | http://snomed.info/sct | Accidental poisoning caused by opiate agonist (disorder) |
| 1148647001 | http://snomed.info/sct | Intentional opioid receptor agonist poisoning (disorder) |
| 1156507003 | http://snomed.info/sct | Intentional overdose of opioid receptor agonist (disorder) |
| 70545002 | http://snomed.info/sct | Narcotic drug user (finding) |
| F11 | http://hl7.org/fhir/sid/icd-10-cm | Opioid related disorders |
| F11.1 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse |
| F11.10 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse, uncomplicated |
| F11.11 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse, in remission |
| F11.12 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse with intoxication |
| F11.120 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse with intoxication, uncomplicated |
| F11.121 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse with intoxication delirium |
| F11.122 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse with intoxication with perceptual disturbance |
| F11.129 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse with intoxication, unspecified |
| F11.13 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse with withdrawal |
| F11.14 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse with opioid-induced mood disorder |
| F11.15 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse with opioid-induced psychotic disorder |
| F11.150 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse with opioid-induced psychotic disorder with delusions |
| F11.151 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse with opioid-induced psychotic disorder with hallucinations |
| F11.159 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse with opioid-induced psychotic disorder, unspecified |
| F11.18 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse with other opioid-induced disorder |
| F11.181 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse with opioid-induced sexual dysfunction |
| F11.182 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse with opioid-induced sleep disorder |
| F11.188 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse with other opioid-induced disorder |
| F11.19 | http://hl7.org/fhir/sid/icd-10-cm | Opioid abuse with unspecified opioid-induced disorder |
| F11.2 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence |
| F11.20 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence, uncomplicated |
| F11.21 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence, in remission |
| F11.22 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence with intoxication |
| F11.220 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence with intoxication, uncomplicated |
| F11.221 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence with intoxication delirium |
| F11.222 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence with intoxication with perceptual disturbance |
| F11.229 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence with intoxication, unspecified |
| F11.23 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence with withdrawal |
| F11.24 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence with opioid-induced mood disorder |
| F11.25 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence with opioid-induced psychotic disorder |
| F11.250 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence with opioid-induced psychotic disorder with delusions |
| F11.251 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence with opioid-induced psychotic disorder with hallucinations |
| F11.259 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence with opioid-induced psychotic disorder, unspecified |
| F11.28 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence with other opioid-induced disorder |
| F11.281 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence with opioid-induced sexual dysfunction |
| F11.282 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence with opioid-induced sleep disorder |
| F11.288 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence with other opioid-induced disorder |
| F11.29 | http://hl7.org/fhir/sid/icd-10-cm | Opioid dependence with unspecified opioid-induced disorder |
| F11.9 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified |
| F11.90 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified, uncomplicated |
| F11.92 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified with intoxication |
| F11.920 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified with intoxication, uncomplicated |
| F11.921 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified with intoxication delirium |
| F11.922 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified with intoxication with perceptual disturbance |
| F11.929 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified with intoxication, unspecified |
| F11.93 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified with withdrawal |
| F11.94 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified with opioid-induced mood disorder |
| F11.95 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified with opioid-induced psychotic disorder |
| F11.950 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified with opioid-induced psychotic disorder with delusions |
| F11.951 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified with opioid-induced psychotic disorder with hallucinations |
| F11.959 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified with opioid-induced psychotic disorder, unspecified |
| F11.98 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified with other specified opioid-induced disorder |
| F11.981 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified with opioid-induced sexual dysfunction |
| F11.982 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified with opioid-induced sleep disorder |
| F11.988 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified with other opioid-induced disorder |
| F11.99 | http://hl7.org/fhir/sid/icd-10-cm | Opioid use, unspecified with unspecified opioid-induced disorder |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |