ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesF13.27

F13.27

Billable

Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting dementia

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

Code Description

ICD-10 F13.27 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting dementia.

Key Diagnostic Point:

F13.27 refers to a condition characterized by a dependence on sedative, hypnotic, or anxiolytic substances, which leads to the development of persisting dementia as a direct consequence of substance use. This condition is marked by cognitive impairment that persists even after the cessation of substance use. Patients may exhibit memory deficits, impaired reasoning, and difficulties with executive function. The dementia is induced by the prolonged use of these substances, which can alter brain chemistry and structure, leading to irreversible changes in cognitive function. Treatment typically involves a comprehensive approach that includes detoxification, cognitive rehabilitation, and psychosocial support. It is crucial for healthcare providers to recognize the signs of this condition early to implement appropriate interventions and support recovery.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between substance-induced dementia and other types of dementia.
  • Need for comprehensive documentation of substance use history.
  • Potential for overlapping symptoms with other mental health disorders.
  • Variability in clinical presentation based on individual patient factors.

Audit Risk Factors

  • Inadequate documentation of substance use history.
  • Failure to document the cognitive assessment results.
  • Misclassification of the type of dementia.
  • Lack of evidence for the persistence of symptoms post-substance use.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed history of substance use, mental status examinations, and cognitive assessments.

Common Clinical Scenarios

Patients presenting with cognitive decline and a history of sedative use.

Billing Considerations

Consideration of co-occurring mental health disorders and the need for a multidisciplinary approach.

Neurology

Documentation Requirements

Neurological evaluations, imaging studies, and cognitive testing results.

Common Clinical Scenarios

Patients with memory loss and neurological symptoms following sedative use.

Billing Considerations

Differentiating between substance-induced dementia and other neurodegenerative conditions.

Coding Guidelines

Inclusion Criteria

Use F13.27 When
  • According to ICD
  • 10 guidelines, F13
  • 27 should be used when there is clear evidence of dependence on sedative, hypnotic, or anxiolytic substances, accompanied by documented cognitive impairment that persists beyond the period of intoxication or withdrawal
  • Proper documentation of the patient's substance use history and cognitive assessments is essential

Exclusion Criteria

Do NOT use F13.27 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96116CPT Code

Neuropsychological testing

Clinical Scenario

Used to assess cognitive function in patients with suspected substance-induced dementia.

Documentation Requirements

Detailed report of cognitive assessments and interpretations.

Specialty Considerations

Psychiatrists and neurologists should collaborate on testing and interpretation.

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 and their complications, such as F13.27, which helps in better tracking and management of these complex conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders and their complications, such as F13.27, which helps in better tracking and management of these complex conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders and their complications, such as F13.27, which helps in better tracking and management of these complex conditions.

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 documenting cognitive impairment in F13.27?

Documenting cognitive impairment is crucial as it differentiates F13.27 from other forms of dementia and supports the need for specific treatment interventions.