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ICD-10 Guide
ICD-10 CodesF13.29

F13.29

Billable

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

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

Code Description

ICD-10 F13.29 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic dependence with unspecified sedative, hypnotic or anxiolytic-induced disorder.

Key Diagnostic Point:

F13.29 refers to a condition characterized by a dependence on sedative, hypnotic, or anxiolytic substances, which can lead to significant impairment or distress. This code is used when the specific substance causing the dependence is not specified. Patients may experience withdrawal symptoms when not using the substance, and they may engage in compulsive use despite negative consequences. The disorder can manifest as tolerance, where higher doses are needed to achieve the same effect, and withdrawal symptoms can include anxiety, insomnia, and seizures. Treatment often involves a combination of behavioral therapies and medication management to address both the dependence and any co-occurring mental health disorders. It is crucial for healthcare providers to document the patient's history, substance use patterns, and any treatment interventions to ensure accurate coding and appropriate care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in substance use patterns among patients
  • Need for detailed documentation of withdrawal symptoms
  • Potential for co-occurring mental health disorders
  • Differentiation from other substance use disorders

Audit Risk Factors

  • Inadequate documentation of substance use history
  • Failure to document withdrawal symptoms
  • Lack of evidence for treatment interventions
  • Misclassification of the disorder severity

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Comprehensive substance use history, including duration and quantity of use, withdrawal symptoms, and treatment response.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms, seeking detoxification, or requiring long-term management of dependence.

Billing Considerations

Consideration of co-occurring mental health disorders and the need for integrated treatment approaches.

Psychiatry

Documentation Requirements

Detailed psychiatric evaluation, including mental status examination and assessment of substance use impact on mental health.

Common Clinical Scenarios

Patients with anxiety disorders using anxiolytics, presenting with exacerbated symptoms during withdrawal.

Billing Considerations

Need for careful monitoring of psychiatric symptoms during treatment and potential medication adjustments.

Coding Guidelines

Inclusion Criteria

Use F13.29 When
  • According to ICD
  • 10 guidelines, F13
  • 29 should be used when there is clear evidence of dependence on sedative, hypnotic, or anxiolytic substances, and when the specific substance is not documented
  • Coders should ensure that all relevant clinical information is captured to support the diagnosis

Exclusion Criteria

Do NOT use F13.29 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

When a patient with sedative dependence also seeks help for smoking cessation.

Documentation Requirements

Document the patient's substance use history and counseling provided.

Specialty Considerations

Addiction specialists may need to coordinate care with tobacco cessation programs.

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 F13.29. This specificity aids in better tracking of treatment outcomes and resource allocation for addiction services.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including F13.29. This specificity aids in better tracking of treatment outcomes and resource allocation for addiction services.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including F13.29. This specificity aids in better tracking of treatment outcomes and resource allocation for addiction services.

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 F13.29 and F13.20?

F13.29 indicates dependence with unspecified sedative, hypnotic, or anxiolytic-induced disorder, while F13.20 refers to uncomplicated dependence without withdrawal symptoms.