Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions
ICD-10 F13.250 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions.
F13.250 refers to a condition characterized by a dependence on sedative, hypnotic, or anxiolytic substances, which leads to the development of a psychotic disorder specifically induced by these substances. Patients with this diagnosis exhibit delusions, which are false beliefs that are firmly held despite evidence to the contrary. This condition often arises from prolonged use of medications such as benzodiazepines or barbiturates, which can alter brain chemistry and lead to significant psychological disturbances. The dependence manifests as a compulsive need to consume these substances, resulting in withdrawal symptoms when not taken. The psychotic disorder can present with various symptoms, including hallucinations, paranoia, and severe mood disturbances. Treatment typically involves a combination of detoxification, psychiatric support, and rehabilitation programs aimed at addressing both the substance dependence and the underlying mental health issues. Clinicians must carefully monitor patients for signs of withdrawal and psychosis, as these can complicate treatment and recovery.
Detailed psychiatric evaluations, including mental status exams and substance use assessments.
Patients presenting with acute psychosis following sedative use, or those in withdrawal experiencing delusions.
Documentation must clearly differentiate between substance-induced symptoms and primary psychiatric disorders.
Comprehensive substance use history, treatment plans, and progress notes detailing withdrawal management.
Patients undergoing detoxification from sedatives with concurrent psychotic symptoms.
Focus on the integration of mental health treatment with substance use disorder management.
Used for follow-up visits for patients with substance use disorders and psychotic symptoms.
Detailed notes on patient history, mental status, and treatment progress.
Psychiatrists should document the complexity of the case and any changes in treatment.
Documenting delusions is crucial as it differentiates the diagnosis from other mental health disorders and supports the need for specific treatment interventions. It also impacts the coding and billing process, ensuring that the complexity of the patient's condition is accurately represented.
