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ICD-10 Guide
ICD-10 CodesF13.230

F13.230

Billable

Sedative, hypnotic or anxiolytic dependence with withdrawal, uncomplicated

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

Code Description

ICD-10 F13.230 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic dependence with withdrawal, uncomplicated.

Key Diagnostic Point:

F13.230 refers to a condition characterized by the dependence on sedative, hypnotic, or anxiolytic substances, accompanied by withdrawal symptoms that are uncomplicated. This diagnosis is typically applied when an individual has developed a psychological and/or physical dependence on these substances, leading to a range of withdrawal symptoms upon cessation. Common sedatives include benzodiazepines, barbiturates, and certain sleep medications. Withdrawal symptoms can manifest as anxiety, insomnia, tremors, and in severe cases, seizures. The uncomplicated nature of this diagnosis indicates that the withdrawal symptoms are not severe enough to require hospitalization or intensive medical intervention. Treatment often involves a gradual tapering of the substance, supportive care, and possibly the use of alternative medications to manage withdrawal symptoms. Understanding the nuances of this diagnosis is crucial for effective treatment planning and accurate coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between uncomplicated and complicated withdrawal
  • Understanding the specific substances involved
  • Recognizing the need for comprehensive documentation of withdrawal symptoms
  • Navigating the overlap with other substance use disorders

Audit Risk Factors

  • Inadequate documentation of withdrawal symptoms
  • Misclassification of withdrawal severity
  • Failure to document substance use history
  • Inconsistent coding of co-occurring disorders

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with anxiety and insomnia after cessation of benzodiazepines.

Billing Considerations

Ensure documentation reflects the severity of withdrawal and any co-occurring mental health issues.

Psychiatry

Documentation Requirements

Comprehensive psychiatric evaluations and treatment progress notes.

Common Clinical Scenarios

Patients with a history of anxiety disorders who have developed dependence on anxiolytics.

Billing Considerations

Document any psychiatric comorbidities that may complicate treatment.

Coding Guidelines

Inclusion Criteria

Use F13.230 When
  • According to ICD
  • 10 coding guidelines, F13
  • 230 should be used when the patient exhibits dependence on sedatives, hypnotics, or anxiolytics with withdrawal symptoms that are not severe enough to warrant a complicated diagnosis
  • Documentation must clearly outline the patient's substance use history and withdrawal symptoms

Exclusion Criteria

Do NOT use F13.230 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

Used in conjunction with F13.230 when addressing substance use disorders.

Documentation Requirements

Document the counseling session details and patient progress.

Specialty Considerations

Addiction specialists may need to provide additional context for the counseling provided.

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 uncomplicated and complicated withdrawal, which aids in treatment planning and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the differentiation between uncomplicated and complicated withdrawal, which aids in treatment planning and 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 are the common withdrawal symptoms associated with sedative dependence?

Common withdrawal symptoms include anxiety, insomnia, tremors, sweating, and in severe cases, seizures. The severity of symptoms can vary based on the substance and duration of use.