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ICD-10 Guide
ICD-10 CodesF13.981

F13.981

Billable

Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sexual dysfunction

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

Code Description

ICD-10 F13.981 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sexual dysfunction.

Key Diagnostic Point:

F13.981 refers to a condition characterized by the use of sedative, hypnotic, or anxiolytic substances that leads to sexual dysfunction. This code is used when the specific substance is not identified, but the patient exhibits symptoms of sexual dysfunction as a result of their substance use. Sedative, hypnotic, and anxiolytic medications are commonly prescribed for anxiety, insomnia, and other related disorders. However, prolonged use can lead to dependence and withdrawal symptoms, which may include sexual dysfunction. This dysfunction can manifest as decreased libido, erectile dysfunction, or other sexual performance issues. The diagnosis requires careful assessment of the patient's substance use history, current medications, and sexual health. Treatment may involve a combination of substance use disorder interventions, psychotherapy, and possibly medication adjustments to address both the addiction and the sexual dysfunction. Accurate coding is essential for appropriate treatment planning and insurance reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of substance use complicates diagnosis.
  • Requires thorough documentation of sexual dysfunction symptoms.
  • Differentiating between substance-induced and primary sexual dysfunction.
  • Potential overlap with other substance use disorders.

Audit Risk Factors

  • Inadequate documentation of substance use history.
  • Failure to document specific sexual dysfunction symptoms.
  • Misclassification of primary vs. substance-induced dysfunction.
  • Lack of comprehensive treatment plans in medical records.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including substance use and sexual health assessments.

Common Clinical Scenarios

Patients presenting with anxiety disorders and sexual dysfunction related to medication use.

Billing Considerations

Consideration of alternative therapies and monitoring for withdrawal symptoms.

Urology

Documentation Requirements

Assessment of sexual function and detailed history of medication use.

Common Clinical Scenarios

Men experiencing erectile dysfunction linked to sedative use.

Billing Considerations

Coordination with mental health providers for comprehensive care.

Coding Guidelines

Inclusion Criteria

Use F13.981 When
  • Follow ICD
  • CM guidelines for substance use disorders, ensuring accurate documentation of the patient's substance use history and the impact on sexual health
  • Include details on the duration and frequency of substance use

Exclusion Criteria

Do NOT use F13.981 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used when managing a patient with substance use disorder and associated sexual dysfunction.

Documentation Requirements

Document the patient's history, examination findings, and treatment plan.

Specialty Considerations

Psychiatric evaluations may require additional documentation 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 ability to capture the nuances of sexual dysfunction related to sedative use, which was less detailed in ICD-9.

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 nuances of sexual dysfunction related to sedative use, which was less detailed in ICD-9.

Reimbursement & Billing Impact

impact on sexual function, and the treatment plan. Ensure that all relevant information is included to support the diagnosis and treatment provided.

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 using F13.981?

F13.981 is significant as it captures the intersection of substance use and sexual dysfunction, allowing for targeted treatment and better understanding of the patient's overall health.