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ICD-10 Guide
ICD-10 CodesF13.182

F13.182

Billable

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

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

Code Description

ICD-10 F13.182 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sleep disorder.

Key Diagnostic Point:

F13.182 refers to a condition characterized by the abuse of sedative, hypnotic, or anxiolytic substances, leading to a sleep disorder induced by these substances. Patients may misuse medications such as benzodiazepines or barbiturates, resulting in dependence and withdrawal symptoms. The sleep disorder can manifest as insomnia, excessive daytime sleepiness, or altered sleep architecture. Clinicians must assess the severity of substance use, the impact on daily functioning, and any co-occurring mental health disorders. Treatment often involves a multidisciplinary approach, including detoxification, cognitive-behavioral therapy, and support groups. Accurate diagnosis and coding are essential for effective treatment planning and insurance reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between abuse and dependence
  • Identifying co-occurring sleep disorders
  • Documenting withdrawal symptoms accurately
  • Understanding the nuances of substance-induced disorders

Audit Risk Factors

  • Inadequate documentation of substance use history
  • Failure to specify the type of sleep disorder
  • Lack of evidence for treatment plans
  • Misclassification of substance use severity

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Comprehensive assessment of substance use history, mental status examination, and treatment plan.

Common Clinical Scenarios

Patients presenting with anxiety disorders who misuse anxiolytics, or those with insomnia related to sedative abuse.

Billing Considerations

Consideration of dual diagnosis and the need for integrated treatment approaches.

Addiction Medicine

Documentation Requirements

Detailed substance use assessment, including frequency, quantity, and impact on functioning.

Common Clinical Scenarios

Patients undergoing detoxification from sedatives or those in outpatient treatment programs.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use F13.182 When
  • Follow ICD
  • CM guidelines for substance use disorders, ensuring accurate documentation of the relationship between substance use and sleep disorders
  • Include details on the severity of the disorder and any co
  • occurring conditions

Exclusion Criteria

Do NOT use F13.182 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 in patients with substance use disorders.

Documentation Requirements

Document the patient's substance use history, treatment response, and any changes in medication.

Specialty Considerations

Psychiatry may require additional mental health assessments.

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, improving the ability to capture the complexity of conditions like F13.182, which can lead to better treatment outcomes and more accurate reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, improving the ability to capture the complexity of conditions like F13.182, which can lead to better treatment outcomes and more accurate reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 F13.182 and F13.180?

F13.182 includes a specific sleep disorder induced by sedative, hypnotic, or anxiolytic abuse, while F13.180 does not involve a sleep disorder.