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 CodesF13.95

F13.95

Billable

Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder

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

Code Description

ICD-10 F13.95 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder.

Key Diagnostic Point:

F13.95 refers to a condition characterized by the use of sedatives, hypnotics, or anxiolytics that leads to a psychotic disorder. This code is used when the specific substance is not identified, but the individual exhibits symptoms of psychosis, such as hallucinations, delusions, or disorganized thinking, as a direct result of sedative or anxiolytic use. Patients may present with altered mental status, impaired judgment, and significant distress. The psychotic symptoms can occur during intoxication or withdrawal phases and may require immediate medical intervention. Treatment often involves stabilization, supportive care, and possibly the use of antipsychotic medications. Long-term management may include substance use disorder treatment programs focusing on behavioral therapies and support groups to address the underlying addiction.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of substance use complicates documentation.
  • Differentiating between intoxication and withdrawal symptoms.
  • Need for comprehensive patient history to establish causality.
  • Potential overlap with other mental health disorders.

Audit Risk Factors

  • Inadequate documentation of psychotic symptoms.
  • Failure to specify the substance used.
  • Lack of evidence for the relationship between substance use and psychosis.
  • Improper coding of withdrawal symptoms.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed mental status examination and substance use history.

Common Clinical Scenarios

Patients presenting with acute psychosis following sedative use.

Billing Considerations

Ensure clear documentation of the timeline of substance use and onset of psychotic symptoms.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use patterns and treatment history.

Common Clinical Scenarios

Patients in withdrawal experiencing psychotic symptoms.

Billing Considerations

Document any co-occurring mental health disorders and treatment interventions.

Coding Guidelines

Inclusion Criteria

Use F13.95 When
  • Follow the ICD
  • CM coding guidelines for substance use disorders, ensuring accurate documentation of the patient's history, symptoms, and treatment
  • Include any relevant co
  • morbid conditions and specify the nature of the psychotic disorder as induced by substance use

Exclusion Criteria

Do NOT use F13.95 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 in patients with substance use disorders.

Documentation Requirements

Document history of present illness, review of systems, and treatment plan.

Specialty Considerations

Ensure that the visit includes a comprehensive assessment 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 psychotic disorders induced by substance use, which enhances the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the differentiation of psychotic disorders induced by substance use, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the differentiation of psychotic disorders induced by substance use, which enhances the accuracy of patient records and treatment plans.

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 key symptoms of sedative, hypnotic, or anxiolytic-induced psychotic disorder?

Key symptoms include hallucinations, delusions, disorganized thinking, and significant changes in behavior that occur during or shortly after the use of sedatives, hypnotics, or anxiolytics.