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ICD-10 Guide
ICD-10 CodesF13.282

F13.282

Billable

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

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

Code Description

ICD-10 F13.282 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sleep disorder.

Key Diagnostic Point:

F13.282 refers to a condition characterized by a dependence on sedative, hypnotic, or anxiolytic substances, which leads to a sleep disorder induced by these substances. Patients with this diagnosis often exhibit a pattern of compulsive use of medications such as benzodiazepines or barbiturates, resulting in tolerance and withdrawal symptoms. The sleep disorder may manifest as insomnia, excessive daytime sleepiness, or altered sleep architecture, which can further complicate the patient's overall health. This condition is often seen in individuals with a history of anxiety or sleep disorders, and it may require a multidisciplinary approach for effective management, including behavioral therapies and gradual tapering of the offending substances. Accurate diagnosis and coding are crucial for appropriate treatment planning and insurance reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between dependence and withdrawal symptoms
  • Identifying the specific sedative, hypnotic, or anxiolytic involved
  • Documenting the induced sleep disorder accurately
  • Understanding the interplay between substance use and mental health disorders

Audit Risk Factors

  • Inadequate documentation of substance use history
  • Failure to specify the type of sedative or hypnotic used
  • Lack of evidence for the sleep disorder diagnosis
  • Inconsistent coding of withdrawal symptoms

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Comprehensive psychiatric evaluation, including substance use history and sleep assessment.

Common Clinical Scenarios

Patients presenting with anxiety disorders who have been prescribed benzodiazepines for extended periods.

Billing Considerations

Consideration of co-occurring mental health disorders and the impact of substance use on treatment outcomes.

Sleep Medicine

Documentation Requirements

Detailed sleep studies and assessments to confirm the sleep disorder diagnosis.

Common Clinical Scenarios

Patients experiencing chronic insomnia linked to sedative use.

Billing Considerations

Need for collaboration with psychiatry for comprehensive management of dependence and sleep issues.

Coding Guidelines

Inclusion Criteria

Use F13.282 When
  • According to ICD
  • 10 guidelines, F13
  • 282 should be used when there is clear documentation of both dependence on sedative, hypnotic, or anxiolytic substances and a sleep disorder directly induced by these substances
  • It is important to ensure that the diagnosis is supported by clinical evidence and that the patient's substance use history is thoroughly documented

Exclusion Criteria

Do NOT use F13.282 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 sedative dependence and sleep disorders.

Documentation Requirements

Detailed history and examination, including substance use and sleep patterns.

Specialty Considerations

Psychiatric evaluations may require additional documentation of mental status and risk assessments.

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 F13.282. 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 F13.282. This specificity aids in better treatment planning and resource allocation.

Reimbursement & Billing Impact

impact on their sleep, and any treatment interventions provided. This ensures compliance with payer requirements and supports the medical necessity of the services rendered.

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 dependence and abuse in the context of F13.282?

Dependence refers to a physiological and psychological reliance on a substance, characterized by tolerance and withdrawal symptoms, while abuse involves the harmful use of a substance without necessarily meeting the criteria for dependence. F13.282 specifically addresses dependence with an induced sleep disorder.