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 CodesF13.281

F13.281

Billable

Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sexual dysfunction

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

Code Description

ICD-10 F13.281 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sexual dysfunction.

Key Diagnostic Point:

F13.281 refers to a condition characterized by a dependence on sedative, hypnotic, or anxiolytic substances, which leads to sexual dysfunction as a direct consequence of substance use. Patients with this diagnosis often exhibit a pattern of compulsive use of these substances, which can include benzodiazepines, barbiturates, and other anxiolytics. The sexual dysfunction may manifest as decreased libido, erectile dysfunction, or other sexual performance issues. This condition not only impacts the patient's sexual health but can also lead to significant interpersonal and psychological distress. The diagnosis requires careful assessment of the patient's substance use history, the severity of dependence, and the specific sexual dysfunction experienced. Treatment typically involves a combination of substance use disorder interventions, including detoxification, counseling, and possibly pharmacotherapy to address both the dependence and the sexual dysfunction. Understanding the interplay between substance use and sexual health is crucial for effective management and recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires thorough documentation of substance use history.
  • Need to differentiate between primary sexual dysfunction and substance-induced dysfunction.
  • Potential for co-occurring mental health disorders complicating the diagnosis.
  • Variability in symptoms and severity among patients.

Audit Risk Factors

  • Inadequate documentation of substance use history.
  • Failure to document the specific type of sexual dysfunction.
  • Lack of evidence for the relationship between substance use and sexual dysfunction.
  • Inconsistent coding of related mental health conditions.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychiatric evaluation and history of substance use, including duration and quantity.

Common Clinical Scenarios

Patients presenting with anxiety disorders who are using benzodiazepines and report sexual dysfunction.

Billing Considerations

Consideration of other mental health disorders that may contribute to sexual dysfunction.

Urology

Documentation Requirements

Assessment of sexual function, including specific tests for erectile dysfunction.

Common Clinical Scenarios

Men presenting with erectile dysfunction who have a history of sedative use.

Billing Considerations

Need to differentiate between organic and psychogenic causes of sexual dysfunction.

Coding Guidelines

Inclusion Criteria

Use F13.281 When
  • According to ICD
  • 10 guidelines, this code should be used when there is clear evidence of dependence on sedatives, hypnotics, or anxiolytics, and when sexual dysfunction is documented as a consequence
  • It is important to ensure that the sexual dysfunction is not better explained by another medical condition

Exclusion Criteria

Do NOT use F13.281 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, moderate complexity

Clinical Scenario

Used for follow-up visits to manage substance dependence and sexual dysfunction.

Documentation Requirements

Document the patient's history, current medications, and sexual health concerns.

Specialty Considerations

Psychiatric evaluations may require additional documentation of mental health status.

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 of conditions like F13.281, which highlights the importance of sexual health in the context of substance dependence.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the differentiation of conditions like F13.281, which highlights the importance of sexual health in the context of substance dependence.

Reimbursement & Billing Impact

impact on sexual function, and the treatment plan. This includes progress notes and any assessments conducted.

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 coding F13.281?

Coding F13.281 is crucial for accurately capturing the complexities of substance dependence and its impact on sexual health, which can inform treatment strategies and improve patient outcomes.