ArticlePain medicine (Malden, Mass.)2025
Diagnosis and coding of opioid misuse: a systematic scoping review and implementation framework.
Article in Pain medicine (Malden, Mass.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evidence-based framework for identifying opioid use disorder in administrative data: A systematic review and methodological development study.Pain medicine (Malden, Mass.) · 2026Pooled it
- Comparison of statewide substance use disorder prevalence estimates from survey data vs electronic health record data.Drug and alcohol dependence · 2026Article
- Medical Diagnosis, ED Visits, and Hospitalizations for Substance Use in U.S. Children's Hospitals: A Retrospective Multi-Center Cohort Study.Children (Basel, Switzerland) · 2026Article
- Medical cannabis authorization and opioid milligram equivalents over time in patients with chronic pain: a retrospective analysis.Pain medicine (Malden, Mass.) · 2026Article
- Criterion validity and divergent risk profiles of long-term opioid therapy across medicare and medicaid.PloS one · 2026Article
- A roadmap for artificial intelligence in pain medicine: current status, opportunities, and requirements.Current opinion in anaesthesiology · 2025Review
- Factors associated with mortality following hospitalization among veterans with opioid use disorder.Journal of substance use and addiction treatment · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo evaluate current administrative coding practices for opioid misuse (OM) within the World Health Organization's International Classification of Diseases (ICD) framework and develop standardized documentation recommendations.
designSystematic scoping review following PRISMA-ScR guidelines.
settingAnalysis of studies using administrative databases, including electronic health records (EHRs), insurance claims, and national healthcare utilization databases. SUBJECTS: Studies published in peer-reviewed journals examining administrative codes for OM, excluding those focused solely on illicit drugs, opioid use disorder (OUD), or using only natural language processing/qualitative methods.
methodsComprehensive search of Embase, Medline, Google Scholar, and PubMed databases following PRISMA-S extension guidelines. Three independent reviewers screened articles and extracted data. Study quality was assessed using a modified Newcastle-Ottawa Scale.
resultsOf 9561 initial records, 19 studies met inclusion criteria. The use of ICD-10 code F11.9* (Opioid use) emerged as the most referenced method for documenting OM, distinguishing it from OUD methods (F11.1, opioid abuse; F11.2, opioid dependence). Studies demonstrated significant heterogeneity in coding practices, resulting in code-based definitions identifying only approximately 50% of cases compared to more comprehensive clinical assessment approaches.
conclusionsWhile ICD-10 code F11.9* can effectively document OM as distinct from OUD, successful implementation requires consensus on the clinical definition of OM and documentation in the form of clear clinical guidelines and operationalized through enhanced EHR integration. Future research should focus on validating these approaches across diverse healthcare settings.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.