Sedative, hypnotic or anxiolytic use, unspecified, in remission
ICD-10 F13.91 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic use, unspecified, in remission.
F13.91 refers to a condition where an individual has a history of sedative, hypnotic, or anxiolytic substance use disorder but is currently in remission. This means that the individual has not engaged in the problematic use of these substances for a specified period, typically at least 12 months. Sedatives, hypnotics, and anxiolytics include medications such as benzodiazepines and barbiturates, which are often prescribed for anxiety, insomnia, and other conditions. The diagnosis of 'in remission' indicates that the individual has made significant progress in recovery, although they may still experience cravings or psychological symptoms related to their past use. Treatment programs often include behavioral therapies, counseling, and support groups to help maintain remission and prevent relapse. It is crucial for healthcare providers to document the patient's history, treatment progress, and any ongoing support mechanisms to ensure accurate coding and appropriate care.
Detailed history of substance use, treatment plans, and progress notes.
Patients transitioning from active use to remission, relapse prevention strategies.
Ensure that all treatment modalities are documented, including behavioral therapies and support group participation.
Comprehensive mental health evaluations, treatment history, and ongoing assessments.
Patients with co-occurring mental health disorders and substance use issues.
Document any psychiatric medications prescribed and their impact on substance use.
Used during initial evaluations for patients in remission.
Document the assessment findings and treatment plan.
Addiction specialists should ensure comprehensive evaluations are performed.
In the context of F13.91, 'in remission' indicates that the individual has not engaged in problematic use of sedatives, hypnotics, or anxiolytics for a specified period, typically at least 12 months, and is actively participating in recovery efforts.
