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ICD-10 Guide
ICD-10 CodesF13.14

F13.14

Billable

Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced mood disorder

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

Code Description

ICD-10 F13.14 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced mood disorder.

Key Diagnostic Point:

F13.14 refers to a condition characterized by the abuse of sedative, hypnotic, or anxiolytic substances, leading to a mood disorder induced by these substances. Patients may misuse medications such as benzodiazepines or barbiturates, resulting in significant psychological and physical dependence. The mood disorder can manifest as depression, anxiety, or other mood disturbances, complicating the clinical picture. This code is essential for capturing the dual diagnosis of substance abuse and mood disorder, which requires a comprehensive treatment approach. Treatment may involve detoxification, psychotherapy, and medication management to address both the substance use disorder and the mood disorder. Accurate coding is crucial for appropriate reimbursement and treatment planning.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Dual diagnosis of substance use and mood disorder complicates treatment.
  • Requires comprehensive documentation of substance use history.
  • Need for differentiation between substance-induced and primary mood disorders.
  • Potential for overlapping symptoms with other mental health disorders.

Audit Risk Factors

  • Inadequate documentation of substance use history.
  • Failure to document the mood disorder's severity and impact.
  • Misclassification of primary vs. substance-induced mood disorders.
  • Lack of evidence for treatment plans addressing both conditions.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychiatric evaluation, including substance use history and mood assessment.

Common Clinical Scenarios

Patients presenting with anxiety or depression who have a history of sedative use.

Billing Considerations

Ensure clear differentiation between primary mood disorders and those induced by substance use.

Addiction Medicine

Documentation Requirements

Comprehensive substance use assessment and treatment plan.

Common Clinical Scenarios

Patients undergoing detoxification from sedatives with concurrent mood disturbances.

Billing Considerations

Focus on the integration of mental health and addiction treatment strategies.

Coding Guidelines

Inclusion Criteria

Use F13.14 When
  • Follow the ICD
  • CM guidelines for coding substance use disorders, ensuring to document the relationship between the substance use and mood disorder
  • Include details on the severity of both conditions and any treatment interventions

Exclusion Criteria

Do NOT use F13.14 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for patients with dual diagnoses.

Documentation Requirements

Document the patient's history, examination findings, and treatment plan.

Specialty Considerations

Psychiatry may require additional mental status examination details.

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 ability to capture the complexity of dual diagnoses like F13.14, which enhances treatment planning and reimbursement accuracy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the ability to capture the complexity of dual diagnoses like F13.14, which enhances treatment planning and reimbursement accuracy.

Reimbursement & Billing Impact

reimbursement accuracy.

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 significance of coding F13.14?

Coding F13.14 is crucial for accurately reflecting the patient's condition, ensuring appropriate treatment planning, and facilitating reimbursement for services addressing both substance use and mood disorders.