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ICD-10 Guide
ICD-10 CodesF13.139

F13.139

Billable

Sedative, hypnotic or anxiolytic abuse with withdrawal, unspecified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F13.139 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic abuse with withdrawal, unspecified.

Key Diagnostic Point:

F13.139 refers to the abuse of sedative, hypnotic, or anxiolytic substances, which are commonly used to treat anxiety and sleep disorders. This code specifically indicates that the individual is experiencing withdrawal symptoms due to the cessation of these substances. Withdrawal symptoms can include anxiety, tremors, insomnia, and seizures, depending on the substance and duration of use. The unspecified aspect of this code indicates that the specific substance causing the abuse and withdrawal is not documented. Clinically, this condition is part of a broader category of substance use disorders, which can lead to significant impairment in social, occupational, or other important areas of functioning. Treatment often involves a combination of medical detoxification, psychological support, and rehabilitation programs aimed at addressing both the physical and psychological aspects of addiction. Understanding the nuances of this code is crucial for accurate documentation and appropriate treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in withdrawal symptoms based on the specific sedative or anxiolytic used.
  • Need for comprehensive documentation to specify the severity and duration of abuse.
  • Potential overlap with other substance use disorders, complicating diagnosis.
  • Unspecified nature may lead to ambiguity in treatment planning and coding.

Audit Risk Factors

  • Inadequate documentation of withdrawal symptoms.
  • Failure to specify the substance leading to abuse.
  • Lack of comprehensive treatment plans in medical records.
  • Inconsistent coding practices among providers.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, withdrawal symptoms, and treatment plans.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms after cessation of sedatives or anxiolytics.

Billing Considerations

Consideration of co-occurring mental health disorders and comprehensive treatment approaches.

Psychiatry

Documentation Requirements

Thorough psychiatric evaluation, including mental status examination and substance use history.

Common Clinical Scenarios

Patients with anxiety disorders who misuse sedatives or anxiolytics.

Billing Considerations

Assessment of underlying psychiatric conditions that may contribute to substance abuse.

Coding Guidelines

Inclusion Criteria

Use F13.139 When
  • According to ICD
  • 10 coding guidelines, F13
  • 139 should be used when there is clear evidence of sedative, hypnotic, or anxiolytic abuse with withdrawal symptoms, but the specific substance is not documented
  • Coders should ensure that all relevant clinical information is captured to support the diagnosis

Exclusion Criteria

Do NOT use F13.139 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0031CPT Code

Mental health assessment

Clinical Scenario

Used during initial evaluation of a patient presenting with withdrawal symptoms.

Documentation Requirements

Comprehensive assessment notes detailing the patient's history and current symptoms.

Specialty Considerations

Addiction specialists may require additional documentation regarding substance use history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the differentiation between abuse and dependence, which aids in treatment planning and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the differentiation between abuse and dependence, which aids in treatment planning and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Coding & Billing References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Frequently Asked Questions

What should I document to support the use of F13.139?

Document the patient's history of substance use, specific withdrawal symptoms experienced, and any treatment interventions initiated to support the diagnosis.