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 CodesF13.96

F13.96

Billable

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

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

Code Description

ICD-10 F13.96 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced persisting amnestic disorder.

Key Diagnostic Point:

F13.96 refers to a condition characterized by the use of sedative, hypnotic, or anxiolytic substances that leads to a persisting amnestic disorder. This disorder is marked by significant memory impairment that persists beyond the period of intoxication or withdrawal. Patients may exhibit difficulties in forming new memories or recalling previously learned information, which can severely impact their daily functioning. The use of these substances can lead to addiction, where individuals develop a psychological and physical dependence on the drugs. Withdrawal symptoms can include anxiety, tremors, and seizures, while intoxication may present with drowsiness, confusion, and impaired coordination. Treatment often involves a combination of detoxification, behavioral therapies, and support groups to address both the substance use disorder and the cognitive impairments associated with the amnestic disorder.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between intoxication and withdrawal symptoms
  • Identifying the specific substance used
  • Documenting the duration and severity of amnestic symptoms
  • 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 anxiolytic used
  • Lack of evidence for persisting amnestic disorder
  • Improper coding of withdrawal symptoms

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Comprehensive mental health evaluations, including substance use history and cognitive assessments.

Common Clinical Scenarios

Patients presenting with memory loss and a history of sedative use, requiring assessment for dual diagnosis.

Billing Considerations

Ensure clear documentation of both substance use and cognitive impairments to support the diagnosis.

Addiction Medicine

Documentation Requirements

Detailed treatment plans, including detoxification protocols and follow-up care.

Common Clinical Scenarios

Patients undergoing detoxification from sedatives with associated cognitive deficits.

Billing Considerations

Document the treatment response and any changes in cognitive function during recovery.

Coding Guidelines

Inclusion Criteria

Use F13.96 When
  • According to ICD
  • 10 guidelines, F13
  • 96 should be used when there is a clear diagnosis of sedative, hypnotic, or anxiolytic use leading to a persisting amnestic disorder
  • Documentation must support the diagnosis, including the duration of substance use and the impact on cognitive function

Exclusion Criteria

Do NOT use F13.96 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0031CPT Code

Mental health assessment

Clinical Scenario

Used during initial evaluation of a patient with suspected substance use disorder and cognitive impairment.

Documentation Requirements

Detailed assessment notes including substance use history and cognitive evaluations.

Specialty Considerations

Psychiatric evaluations should include specific inquiries about memory and cognitive function.

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 ability to capture the complexities of conditions like F13.96, which combines substance use with cognitive impairments.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the ability to capture the complexities of conditions like F13.96, which combines substance use with cognitive impairments.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the ability to capture the complexities of conditions like F13.96, which combines substance use with cognitive impairments.

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 significance of the 'persisting amnestic disorder' in F13.96?

The 'persisting amnestic disorder' indicates that the cognitive impairments are not temporary and require ongoing treatment and management, distinguishing it from other substance use disorders without cognitive effects.