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ICD-10 Guide
ICD-10 CodesF13.24

F13.24

Billable

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

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

Code Description

ICD-10 F13.24 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced mood disorder.

Key Diagnostic Point:

F13.24 refers to a condition characterized by a dependence on sedative, hypnotic, or anxiolytic substances, which leads to a mood disorder induced by these substances. This diagnosis is applicable when an individual exhibits a pattern of use that results in significant impairment or distress, including withdrawal symptoms when not using the substance. The mood disorder may manifest as depression, anxiety, or other mood disturbances that are directly attributable to the use of these substances. Clinicians must assess the severity of the dependence and the impact of the mood disorder on the patient's daily functioning. Treatment often involves a combination of detoxification, psychotherapy, and medication management to address both the substance dependence and the mood disorder. 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 substance-induced mood disorders and primary mood disorders.
  • Assessing the severity of dependence and its impact on daily functioning.
  • Documenting withdrawal symptoms and their management.
  • Understanding the interplay between multiple substance use disorders.

Audit Risk Factors

  • Inadequate documentation of mood disorder symptoms.
  • Failure to document the severity of substance dependence.
  • Lack of evidence for treatment interventions.
  • Misclassification of primary mood disorders versus substance-induced disorders.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Comprehensive psychiatric evaluation, including history of substance use and mood symptoms.

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of the relationship between substance use and mood symptoms.

Addiction Medicine

Documentation Requirements

Detailed substance use history, including patterns of use and withdrawal symptoms.

Common Clinical Scenarios

Patients undergoing detoxification who exhibit mood disturbances.

Billing Considerations

Documenting the treatment plan that addresses both substance dependence and mood disorder.

Coding Guidelines

Inclusion Criteria

Use F13.24 When
  • According to ICD
  • 10 coding guidelines, F13
  • 24 should be used when there is clear evidence of dependence on sedatives, hypnotics, or anxiolytics, accompanied by a mood disorder
  • Documentation must support the diagnosis, including clinical assessments and treatment plans

Exclusion Criteria

Do NOT use F13.24 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 substance dependence and mood disorders.

Documentation Requirements

Document history, examination, and medical decision-making.

Specialty Considerations

Psychiatry and addiction medicine may require additional documentation of treatment plans.

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 F13.24. This specificity aids in better treatment planning and resource allocation.

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 F13.24. This specificity aids in better treatment planning and resource allocation.

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 F13.24 and F13.20?

F13.24 includes a mood disorder induced by substance use, while F13.20 does not. Accurate documentation is essential to differentiate between the two.