ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 5: Mental, Behavioral and Neurodevelopmental disordersF13

F13

Billable

Sedative, hypnotic, or anxiolytic related disorders

Chapter 5:Mental, Behavioral and Neurodevelopmental disorders

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

Code Description

ICD-10 F13 is a billable code used to indicate a diagnosis of sedative, hypnotic, or anxiolytic related disorders.

Key Diagnostic Point:

F13 encompasses a range of disorders related to the misuse of sedative, hypnotic, or anxiolytic substances, which are commonly prescribed for anxiety, sleep disorders, and other conditions. These disorders can manifest as substance use disorders, characterized by a compulsive pattern of use despite negative consequences. Patients may experience withdrawal symptoms when not using these substances, including anxiety, insomnia, tremors, and seizures. Intoxication can lead to cognitive impairment, drowsiness, and respiratory depression, which can be life-threatening. Treatment often involves a combination of detoxification, behavioral therapies, and support groups. Clinicians must carefully assess the severity of the disorder, the presence of co-occurring mental health issues, and the patient's overall health to develop an effective treatment plan. Accurate coding is essential for appropriate reimbursement and to ensure that patients receive the necessary care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of substances included (e.g., benzodiazepines, barbiturates)
  • Differentiation between intoxication, withdrawal, and use disorders
  • Need for comprehensive patient history and documentation
  • Potential for co-occurring mental health disorders

Audit Risk Factors

  • Inadequate documentation of substance use history
  • Failure to specify the type of sedative or anxiolytic used
  • Misclassification of withdrawal symptoms
  • Lack of evidence for treatment plans

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including substance use patterns and mental health evaluations.

Common Clinical Scenarios

Patients presenting with anxiety disorders, insomnia, or substance use disorders requiring detoxification.

Billing Considerations

Consideration of co-occurring mental health disorders and the need for a multidisciplinary approach.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use, including frequency, duration, and impact on daily functioning.

Common Clinical Scenarios

Patients seeking treatment for substance use disorders involving sedatives or anxiolytics.

Billing Considerations

Focus on harm reduction strategies and long-term recovery planning.

Coding Guidelines

Inclusion Criteria

Use F13 When
  • According to ICD
  • 10 guidelines, F13 codes should be used when the substance use leads to clinically significant impairment or distress
  • Documentation must clearly indicate the type of substance, the severity of the disorder, and any associated withdrawal or intoxication symptoms

Exclusion Criteria

Do NOT use F13 When
No specific exclusions found.

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

Used in conjunction with F13 when addressing substance use disorders.

Documentation Requirements

Document the counseling session details and patient progress.

Specialty Considerations

Important for addiction specialists focusing on comprehensive substance use treatment.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sedative, hypnotic, and anxiolytic disorders, improving the ability to track and treat these conditions effectively. It has also enhanced the granularity of data for research and quality improvement initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sedative, hypnotic, and anxiolytic disorders, improving the ability to track and treat these conditions effectively. It has also enhanced the granularity of data for research and quality improvement initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sedative, hypnotic, and anxiolytic disorders, improving the ability to track and treat these conditions effectively. It has also enhanced the granularity of data for research and quality improvement initiatives.

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 is the difference between F13.10 and F13.20?

F13.10 refers to sedative, hypnotic, or anxiolytic use disorder, unspecified, while F13.20 refers to withdrawal symptoms associated with these substances. Accurate coding depends on the clinical presentation and documentation of the patient's condition.