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

ValueSet: Opioid misuse disorders

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+.

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)

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

Expansion based on:

  • system International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) version2021
  • SNOMED CT United States edition 01-Mar 2023

This value set expansion contains 212 concepts.

CodeSystemDisplay
  5602001http://snomed.info/sctOpioid abuse (disorder)
  191909007http://snomed.info/sctNondependent opioid abuse (disorder)
  191912005http://snomed.info/sctNondependent opioid abuse, continuous (disorder)
  191913000http://snomed.info/sctNondependent opioid abuse, episodic (disorder)
  191914006http://snomed.info/sctNondependent opioid abuse in remission (disorder)
  145121000119106http://snomed.info/sctIntravenous nondependent opioid abuse (disorder)
  520841000124109http://snomed.info/sctDiamorphine abuse (disorder)
  75544000http://snomed.info/sctOpioid dependence (disorder)
  191819002http://snomed.info/sctContinuous opioid dependence (disorder)
  191820008http://snomed.info/sctEpisodic opioid dependence (disorder)
  191821007http://snomed.info/sctOpioid dependence in remission (disorder)
  231477003http://snomed.info/sctDependence on diamorphine (disorder)
  231478008http://snomed.info/sctMethadone dependence (disorder)
  231479000http://snomed.info/sctMorphine dependence (disorder)
  231480002http://snomed.info/sctOpium dependence (disorder)
  426001001http://snomed.info/sctFentanyl dependence (disorder)
  703845008http://snomed.info/sctBuprenorphine dependence (disorder)
  1255013006http://snomed.info/sctCombined opioid with non-opioid substance dependence (disorder)
  1255015004http://snomed.info/sctCombined opioid with non-opioid substance dependence, episodic (disorder)
  1255018002http://snomed.info/sctCombined opioid with non-opioid substance dependence, continuous (disorder)
  1255019005http://snomed.info/sctCombined opioid with non-opioid substance dependence in remission (disorder)
  1081000119105http://snomed.info/sctOpioid dependence, on agonist therapy (disorder)
  87132004http://snomed.info/sctOpioid withdrawal syndrome (disorder)
  703846009http://snomed.info/sctBuprenorphine withdrawal syndrome (disorder)
  29733004http://snomed.info/sctMood disorder caused by opioid (disorder)
  762320004http://snomed.info/sctMood disorder with manic symptoms caused by opioid (disorder)
  762321000http://snomed.info/sctMood disorder with depressive symptoms caused by opioid (disorder)
  762322007http://snomed.info/sctMood disorder with mixed depressive and manic symptoms caused by opioid (disorder)
  288851000119106http://snomed.info/sctOpioid-induced mood disorder due to opioid abuse (disorder)
  288861000119108http://snomed.info/sctOpioid-induced mood disorder due to opioid dependence (disorder)
  1148649003http://snomed.info/sctPoisoning caused by opioid receptor agonist (disorder)
  12898000http://snomed.info/sctPoisoning caused by pentazocine (disorder)
  13187008http://snomed.info/sctPoisoning caused by heroin (disorder)
  18052008http://snomed.info/sctPoisoning caused by meperidine (disorder)
  18768006http://snomed.info/sctPhenanthrene derivative poisoning (disorder)
  47836003http://snomed.info/sctPoisoning caused by morphine (disorder)
  52866005http://snomed.info/sctOpioid intoxication delirium (disorder)
  60199004http://snomed.info/sctPoisoning caused by methadone (disorder)
  68099003http://snomed.info/sctPoisoning caused by codeine (disorder)
  77721001http://snomed.info/sctOpioid intoxication (disorder)
  216463005http://snomed.info/sctAccidental poisoning caused by heroin (disorder)
  216464004http://snomed.info/sctAccidental poisoning caused by methadone (disorder)
  216466002http://snomed.info/sctAccidental poisoning caused by codeine (disorder)
  216467006http://snomed.info/sctAccidental poisoning caused by pethidine (disorder)
  216468001http://snomed.info/sctAccidental poisoning caused by morphine (disorder)
  216469009http://snomed.info/sctAccidental poisoning caused by opium (disorder)
  216494005http://snomed.info/sctAccidental poisoning caused by pentazocine (disorder)
  241750009http://snomed.info/sctPoisoning caused by dihydrocodeine (disorder)
  242253008http://snomed.info/sctOverdose of opiate (disorder)
  242829007http://snomed.info/sctIntentional diamorphine overdose (disorder)
  242830002http://snomed.info/sctIntentional dihydrocodeine overdose (disorder)
  242831003http://snomed.info/sctIntentional methadone overdose (disorder)
  290151009http://snomed.info/sctIntentional pentazocine poisoning (disorder)
  290153007http://snomed.info/sctPhenazocine poisoning (disorder)
  290154001http://snomed.info/sctAccidental phenazocine poisoning (disorder)
  290155000http://snomed.info/sctIntentional phenazocine poisoning (disorder)
  290157008http://snomed.info/sctMethadone analog poisoning (disorder)
  290158003http://snomed.info/sctDextromoramide poisoning (disorder)
  290159006http://snomed.info/sctAccidental dextromoramide poisoning (disorder)
  290160001http://snomed.info/sctIntentional dextromoramide poisoning (disorder)
  290162009http://snomed.info/sctDextropropoxyphene poisoning (disorder)
  290163004http://snomed.info/sctAccidental dextropropoxyphene poisoning (disorder)
  290164005http://snomed.info/sctIntentional dextropropoxyphene poisoning (disorder)
  290166007http://snomed.info/sctDipipanone poisoning (disorder)
  290167003http://snomed.info/sctAccidental dipipanone poisoning (disorder)
  290168008http://snomed.info/sctIntentional dipipanone poisoning (disorder)
  290171000http://snomed.info/sctIntentional methadone poisoning (disorder)
  290173002http://snomed.info/sctMorphinan opioid poisoning (disorder)
  290174008http://snomed.info/sctBuprenorphine poisoning (disorder)
  290175009http://snomed.info/sctAccidental buprenorphine poisoning (disorder)
  290176005http://snomed.info/sctIntentional buprenorphine poisoning (disorder)
  290179003http://snomed.info/sctIntentional poisoning caused by codeine (disorder)
  290182008http://snomed.info/sctIntentional heroin poisoning (disorder)
  290184009http://snomed.info/sctAccidental poisoning caused by dihydrocodeine (disorder)
  290185005http://snomed.info/sctIntentional poisoning caused by dihydrocodeine (disorder)
  290188007http://snomed.info/sctNalbuphine poisoning (disorder)
  290189004http://snomed.info/sctAccidental nalbuphine poisoning (disorder)
  290190008http://snomed.info/sctIntentional nalbuphine poisoning (disorder)
  290193005http://snomed.info/sctIntentional morphine poisoning (disorder)
  290196002http://snomed.info/sctPethidine analog poisoning (disorder)
  290197006http://snomed.info/sctAlfentanil poisoning (disorder)
  290198001http://snomed.info/sctAccidental alfentanil poisoning (disorder)
  290199009http://snomed.info/sctIntentional alfentanil poisoning (disorder)
  290201006http://snomed.info/sctFentanyl poisoning (disorder)
  290202004http://snomed.info/sctAccidental fentanyl poisoning (disorder)
  290203009http://snomed.info/sctIntentional fentanyl poisoning (disorder)
  290206001http://snomed.info/sctIntentional pethidine poisoning (disorder)
  290208000http://snomed.info/sctPhenoperidine poisoning (disorder)
  290209008http://snomed.info/sctAccidental phenoperidine poisoning (disorder)
  290210003http://snomed.info/sctIntentional phenoperidine poisoning (disorder)
  290212006http://snomed.info/sctMeptazinol poisoning (disorder)
  290213001http://snomed.info/sctAccidental meptazinol poisoning (disorder)
  290214007http://snomed.info/sctIntentional meptazinol poisoning (disorder)
  290216009http://snomed.info/sctLevorphanol poisoning (disorder)
  290217000http://snomed.info/sctAccidental levorphanol poisoning (disorder)
  290218005http://snomed.info/sctIntentional levorphanol poisoning (disorder)
  295140007http://snomed.info/sctPentazocine overdose (disorder)
  295141006http://snomed.info/sctAccidental pentazocine overdose (disorder)
  295142004http://snomed.info/sctIntentional pentazocine overdose (disorder)
  295144003http://snomed.info/sctPhenazocine overdose (disorder)
  295145002http://snomed.info/sctAccidental phenazocine overdose (disorder)
  295146001http://snomed.info/sctIntentional phenazocine overdose (disorder)
  295148000http://snomed.info/sctMethadone analog overdose (disorder)
  295149008http://snomed.info/sctDextromoramide overdose (disorder)
  295150008http://snomed.info/sctAccidental dextromoramide overdose (disorder)
  295151007http://snomed.info/sctIntentional dextromoramide overdose (disorder)
  295153005http://snomed.info/sctDextropropoxyphene overdose (disorder)
  295154004http://snomed.info/sctAccidental dextropropoxyphene overdose (disorder)
  295155003http://snomed.info/sctIntentional dextropropoxyphene overdose (disorder)
  295157006http://snomed.info/sctDipipanone overdose (disorder)
  295158001http://snomed.info/sctAccidental dipipanone overdose (disorder)
  295159009http://snomed.info/sctIntentional dipipanone overdose (disorder)
  295161000http://snomed.info/sctMethadone overdose (disorder)
  295163002http://snomed.info/sctAccidental methadone overdose (disorder)
  295165009http://snomed.info/sctMorphinan opioid overdose (disorder)
  295166005http://snomed.info/sctBuprenorphine overdose (disorder)
  295167001http://snomed.info/sctAccidental buprenorphine overdose (disorder)
  295168006http://snomed.info/sctIntentional buprenorphine overdose (disorder)
  295170002http://snomed.info/sctOverdose of codeine (disorder)
  295171003http://snomed.info/sctAccidental overdose by codeine (disorder)
  295172005http://snomed.info/sctIntentional overdose by codeine (disorder)
  295174006http://snomed.info/sctHeroin overdose (disorder)
  295175007http://snomed.info/sctAccidental heroin overdose (disorder)
  295177004http://snomed.info/sctOverdose of dihydrocodeine (disorder)
  295178009http://snomed.info/sctAccidental overdose by dihydrocodeine (disorder)
  295180003http://snomed.info/sctNalbuphine overdose (disorder)
  295181004http://snomed.info/sctAccidental nalbuphine overdose (disorder)
  295182006http://snomed.info/sctIntentional nalbuphine overdose (disorder)
  295184007http://snomed.info/sctMorphine overdose (disorder)
  295185008http://snomed.info/sctAccidental morphine overdose (disorder)
  295186009http://snomed.info/sctIntentional morphine overdose (disorder)
  295188005http://snomed.info/sctPethidine analog overdose (disorder)
  295189002http://snomed.info/sctAlfentanil overdose (disorder)
  295190006http://snomed.info/sctAccidental alfentanil overdose (disorder)
  295191005http://snomed.info/sctIntentional alfentanil overdose (disorder)
  295193008http://snomed.info/sctFentanyl overdose (disorder)
  295194002http://snomed.info/sctAccidental fentanyl overdose (disorder)
  295195001http://snomed.info/sctIntentional fentanyl overdose (disorder)
  295197009http://snomed.info/sctPethidine overdose (disorder)
  295198004http://snomed.info/sctAccidental pethidine overdose (disorder)
  295199007http://snomed.info/sctIntentional pethidine overdose (disorder)
  295201009http://snomed.info/sctPhenoperidine overdose (disorder)
  295202002http://snomed.info/sctAccidental phenoperidine overdose (disorder)
  295203007http://snomed.info/sctIntentional phenoperidine overdose (disorder)
  295205000http://snomed.info/sctMeptazinol overdose (disorder)
  295206004http://snomed.info/sctAccidental meptazinol overdose (disorder)
  295207008http://snomed.info/sctIntentional meptazinol overdose (disorder)
  295209006http://snomed.info/sctLevorphanol overdose (disorder)
  295210001http://snomed.info/sctAccidental levorphanol overdose (disorder)
  295211002http://snomed.info/sctIntentional levorphanol overdose (disorder)
  297199006http://snomed.info/sctAccidental overdose of opiate (disorder)
  432353006http://snomed.info/sctAccidental poisoning caused by opiate agonist (disorder)
  1148647001http://snomed.info/sctIntentional opioid receptor agonist poisoning (disorder)
  1156507003http://snomed.info/sctIntentional overdose of opioid receptor agonist (disorder)
  70545002http://snomed.info/sctNarcotic drug user (finding)
  F11http://hl7.org/fhir/sid/icd-10-cmOpioid related disorders
  F11.1http://hl7.org/fhir/sid/icd-10-cmOpioid abuse
  F11.10http://hl7.org/fhir/sid/icd-10-cmOpioid abuse, uncomplicated
  F11.11http://hl7.org/fhir/sid/icd-10-cmOpioid abuse, in remission
  F11.12http://hl7.org/fhir/sid/icd-10-cmOpioid abuse with intoxication
  F11.120http://hl7.org/fhir/sid/icd-10-cmOpioid abuse with intoxication, uncomplicated
  F11.121http://hl7.org/fhir/sid/icd-10-cmOpioid abuse with intoxication delirium
  F11.122http://hl7.org/fhir/sid/icd-10-cmOpioid abuse with intoxication with perceptual disturbance
  F11.129http://hl7.org/fhir/sid/icd-10-cmOpioid abuse with intoxication, unspecified
  F11.13http://hl7.org/fhir/sid/icd-10-cmOpioid abuse with withdrawal
  F11.14http://hl7.org/fhir/sid/icd-10-cmOpioid abuse with opioid-induced mood disorder
  F11.15http://hl7.org/fhir/sid/icd-10-cmOpioid abuse with opioid-induced psychotic disorder
  F11.150http://hl7.org/fhir/sid/icd-10-cmOpioid abuse with opioid-induced psychotic disorder with delusions
  F11.151http://hl7.org/fhir/sid/icd-10-cmOpioid abuse with opioid-induced psychotic disorder with hallucinations
  F11.159http://hl7.org/fhir/sid/icd-10-cmOpioid abuse with opioid-induced psychotic disorder, unspecified
  F11.18http://hl7.org/fhir/sid/icd-10-cmOpioid abuse with other opioid-induced disorder
  F11.181http://hl7.org/fhir/sid/icd-10-cmOpioid abuse with opioid-induced sexual dysfunction
  F11.182http://hl7.org/fhir/sid/icd-10-cmOpioid abuse with opioid-induced sleep disorder
  F11.188http://hl7.org/fhir/sid/icd-10-cmOpioid abuse with other opioid-induced disorder
  F11.19http://hl7.org/fhir/sid/icd-10-cmOpioid abuse with unspecified opioid-induced disorder
  F11.2http://hl7.org/fhir/sid/icd-10-cmOpioid dependence
  F11.20http://hl7.org/fhir/sid/icd-10-cmOpioid dependence, uncomplicated
  F11.21http://hl7.org/fhir/sid/icd-10-cmOpioid dependence, in remission
  F11.22http://hl7.org/fhir/sid/icd-10-cmOpioid dependence with intoxication
  F11.220http://hl7.org/fhir/sid/icd-10-cmOpioid dependence with intoxication, uncomplicated
  F11.221http://hl7.org/fhir/sid/icd-10-cmOpioid dependence with intoxication delirium
  F11.222http://hl7.org/fhir/sid/icd-10-cmOpioid dependence with intoxication with perceptual disturbance
  F11.229http://hl7.org/fhir/sid/icd-10-cmOpioid dependence with intoxication, unspecified
  F11.23http://hl7.org/fhir/sid/icd-10-cmOpioid dependence with withdrawal
  F11.24http://hl7.org/fhir/sid/icd-10-cmOpioid dependence with opioid-induced mood disorder
  F11.25http://hl7.org/fhir/sid/icd-10-cmOpioid dependence with opioid-induced psychotic disorder
  F11.250http://hl7.org/fhir/sid/icd-10-cmOpioid dependence with opioid-induced psychotic disorder with delusions
  F11.251http://hl7.org/fhir/sid/icd-10-cmOpioid dependence with opioid-induced psychotic disorder with hallucinations
  F11.259http://hl7.org/fhir/sid/icd-10-cmOpioid dependence with opioid-induced psychotic disorder, unspecified
  F11.28http://hl7.org/fhir/sid/icd-10-cmOpioid dependence with other opioid-induced disorder
  F11.281http://hl7.org/fhir/sid/icd-10-cmOpioid dependence with opioid-induced sexual dysfunction
  F11.282http://hl7.org/fhir/sid/icd-10-cmOpioid dependence with opioid-induced sleep disorder
  F11.288http://hl7.org/fhir/sid/icd-10-cmOpioid dependence with other opioid-induced disorder
  F11.29http://hl7.org/fhir/sid/icd-10-cmOpioid dependence with unspecified opioid-induced disorder
  F11.9http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified
  F11.90http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified, uncomplicated
  F11.92http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified with intoxication
  F11.920http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified with intoxication, uncomplicated
  F11.921http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified with intoxication delirium
  F11.922http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified with intoxication with perceptual disturbance
  F11.929http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified with intoxication, unspecified
  F11.93http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified with withdrawal
  F11.94http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified with opioid-induced mood disorder
  F11.95http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified with opioid-induced psychotic disorder
  F11.950http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified with opioid-induced psychotic disorder with delusions
  F11.951http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified with opioid-induced psychotic disorder with hallucinations
  F11.959http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified with opioid-induced psychotic disorder, unspecified
  F11.98http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified with other specified opioid-induced disorder
  F11.981http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified with opioid-induced sexual dysfunction
  F11.982http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified with opioid-induced sleep disorder
  F11.988http://hl7.org/fhir/sid/icd-10-cmOpioid use, unspecified with other opioid-induced disorder
  F11.99http://hl7.org/fhir/sid/icd-10-cmOpioid 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