ICD-11 classes
06 Mental, behavioural or neurodevelopmental disorders
Disorders due to substance use or addictive behaviours
Disorders due to substance use
6C43 — Disorders due to use of opioids
6C43.2 — Opioid dependence

ICD-11 6C43.2 — Opioid dependence

Opioid dependence is a disorder of regulation of opioid use arising from repeated or continuous use of opioids. The characteristic feature is a strong internal drive to use opioids, which is manifested by impaired ability to control use, increasing priority given to use over other activities and persistence of use despite harm or negative consequences. These experiences are often accompanied by a subjective sensation of urge or craving to use opioids. Physiological features of dependence may also be present, including tolerance to the effects of opioids, withdrawal symptoms following cessation or reduction in use of opioids, or repeated use of opioids or pharmacologically similar substances to prevent or alleviate withdrawal symptoms. The features of dependence are usually evident over a period of at least 12 months but the diagnosis may be made if opioid use is continuous (daily or almost daily) for at least 3 months.

The diagnosis includes nothing.

Diagnosis with code 6C43.2 contains 5 clarifying diagnoses:

1. 6C43.20 — Opioid dependence, current use
2. 6C43.21 — Opioid dependence, early full remission
3. 6C43.22 — Opioid dependence, sustained partial remission
4. 6C43.23 — Opioid dependence, sustained full remission
5. 6C43.2Z — Opioid dependence, unspecified