Name of the Condition

• Opioid Dependence with Opioid-Induced Mood Disorder
• ICD Code: F11.24

Summary

Opioid Dependence with Opioid-Induced Mood Disorder refers to a condition where an individual is both dependent on opioid drugs and experiences mood disturbances directly caused by opioid use. This condition can significantly impact emotional well-being and daily functioning.

Causes

• Prolonged or excessive use of opioid medications or illicit opioids.
• The brain's chemical alterations due to long-term opioid exposure.

Risk Factors

• Personal or family history of substance abuse.
• Mental health disorders such as depression or anxiety.
• Environmental factors like stress or exposure to drug-using peers.
• Chronic pain conditions requiring long-term opioid prescriptions.

Symptoms

• Cravings and compulsive use of opioids.
• Withdrawal symptoms when not using opioids.
• Mood swings, depression, or irritability caused by opioid use.
• Loss of interest in activities, even those previously enjoyable.

Diagnosis

• Comprehensive evaluation including medical history and behavioral assessments.
• Use of standardized screening tools or questionnaires.
• Monitoring mood changes in relation to opioid use patterns.

Treatment Options

• Medication-Assisted Treatment (MAT): Includes medications like methadone or buprenorphine to reduce withdrawal and cravings.
• Psychotherapy: Cognitive-behavioral therapy (CBT) and counseling to address mood disorders.
• Support Groups: Meetings like Narcotics Anonymous to provide peer support.
• Inpatient Rehab Programs: For structured detoxification and behavioral treatment.

Prognosis and Follow-Up

• Recovery varies per individual; long-term management often involves ongoing therapy and support.
• Regular follow-up is crucial to monitor mental health and prevent relapse.

Complications

• Untreated opioid dependence can lead to severe health issues, overdose, or death.
• Ongoing mood disorders can impair quality of life, leading to social and occupational difficulties.

Lifestyle & Prevention

• Maintaining a strong support network and engaging in regular physical activity.
• Stress management techniques such as mindfulness or yoga.
• Avoiding environments or situations that may trigger opioid use.

When to Seek Professional Help

• Persistent mood disturbances or depressive symptoms.
• Uncontrollable cravings or inability to stop using opioids.
• Experiencing withdrawal symptoms.

Additional Resources

• Substance Abuse and Mental Health Services Administration (SAMHSA): www.samhsa.gov
• National Institute on Drug Abuse (NIDA): www.drugabuse.gov
• American Psychiatric Association (APA): www.psychiatry.org

Tips for Medical Coders

• Ensure comprehensive documentation of both opioid dependence and the mood disorder.
• Verify that the mood disorder is established as being induced by opioid use.
• Double-check coding guidelines for combination codes to avoid errors.