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ICD-10 Guide
ICD-10 CodesF13.939

F13.939

Billable

Sedative, hypnotic or anxiolytic use, unspecified with withdrawal, unspecified

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

Code Description

ICD-10 F13.939 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic use, unspecified with withdrawal, unspecified.

Key Diagnostic Point:

F13.939 refers to a condition characterized by the use of sedative, hypnotic, or anxiolytic substances leading to withdrawal symptoms. This code is used when a patient exhibits signs of withdrawal from these substances but does not specify the exact substance or the severity of the withdrawal. Withdrawal symptoms can include anxiety, tremors, insomnia, and in severe cases, seizures. The diagnosis is crucial as it indicates a substance use disorder that requires intervention. Treatment typically involves a medically supervised detoxification process, followed by rehabilitation programs that may include cognitive-behavioral therapy, support groups, and medication-assisted treatment. Accurate coding is essential for appropriate treatment planning and insurance reimbursement, as it reflects the complexity of the patient's condition and the need for comprehensive care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of the substance used
  • Variability in withdrawal symptoms
  • Need for comprehensive documentation of withdrawal severity
  • Potential overlap with other substance use disorders

Audit Risk Factors

  • Inadequate documentation of withdrawal symptoms
  • Failure to specify the substance used
  • Lack of evidence for treatment necessity
  • Misalignment between diagnosis and treatment provided

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, withdrawal symptoms, and treatment plan.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms after cessation of sedative use.

Billing Considerations

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

Psychiatry

Documentation Requirements

Comprehensive psychiatric evaluation, including mental status examination and history of substance use.

Common Clinical Scenarios

Patients with anxiety disorders who misuse anxiolytics.

Billing Considerations

Assessment of the impact of withdrawal on mental health and potential for relapse.

Coding Guidelines

Inclusion Criteria

Use F13.939 When
  • Follow ICD
  • CM guidelines for substance use disorders, ensuring accurate documentation of withdrawal symptoms and treatment plans
  • occurring

Exclusion Criteria

Do NOT use F13.939 When
  • Exclude codes for other substance use disorders unless co

Related ICD-10 Codes

Related CPT Codes

H0031CPT Code

Mental health assessment

Clinical Scenario

Used when assessing a patient for withdrawal symptoms.

Documentation Requirements

Document the assessment findings and treatment plan.

Specialty Considerations

Addiction specialists should ensure comprehensive evaluations.

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 track and treat these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, improving the ability to track and treat these conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, improving the ability to track and treat these conditions effectively.

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 are the common withdrawal symptoms associated with sedative use?

Common withdrawal symptoms include anxiety, tremors, insomnia, irritability, and in severe cases, seizures.