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ICD-10 Guide
ICD-10 CodesF13.982

F13.982

Billable

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

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

Code Description

ICD-10 F13.982 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sleep disorder.

Key Diagnostic Point:

F13.982 refers to a condition characterized by the use of sedative, hypnotic, or anxiolytic substances that leads to a sleep disorder. This code is applicable when the specific substance used is not identified, but the patient exhibits symptoms of a sleep disorder induced by these substances. Patients may present with insomnia, excessive daytime sleepiness, or other sleep disturbances that are directly linked to their use of these medications. The condition is often seen in individuals with a history of substance use disorders, where the sedative effects of these drugs can lead to dependency and withdrawal symptoms. Treatment typically involves a multidisciplinary approach, including behavioral therapies, medication management, and support groups to address both the substance use and the resultant sleep disorder. Accurate coding is crucial for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified substance use complicates diagnosis.
  • Differentiating between induced sleep disorder and primary sleep disorders.
  • Potential overlap with other substance use disorders.
  • Need for comprehensive documentation of substance use history.

Audit Risk Factors

  • Inadequate documentation of substance use history.
  • Failure to specify the sleep disorder.
  • Misclassification of the primary diagnosis.
  • Lack of evidence for treatment provided.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history including substance use, mental health status, and sleep patterns.

Common Clinical Scenarios

Patients presenting with anxiety or insomnia related to substance use.

Billing Considerations

Consideration of co-occurring mental health disorders and their impact on treatment.

Sleep Medicine

Documentation Requirements

Sleep studies and assessments to confirm sleep disorders.

Common Clinical Scenarios

Patients with chronic insomnia linked to sedative use.

Billing Considerations

Differentiating between primary sleep disorders and those induced by substance use.

Coding Guidelines

Inclusion Criteria

Use F13.982 When
  • Follow the ICD
  • CM guidelines for coding substance use disorders, ensuring to document the specific nature of the sleep disorder and any related symptoms
  • Use additional codes for any co
  • occurring conditions

Exclusion Criteria

Do NOT use F13.982 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for patients with substance use and sleep disorders.

Documentation Requirements

Document the patient's substance use history and sleep complaints.

Specialty Considerations

Psychiatric evaluation may require additional documentation.

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. F13.982 provides a clear framework for identifying patients with substance-induced sleep disorders, facilitating better clinical management.

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. F13.982 provides a clear framework for identifying patients with substance-induced sleep disorders, facilitating better clinical management.

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. F13.982 provides a clear framework for identifying patients with substance-induced sleep disorders, facilitating better clinical management.

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 F13.982?

F13.982 is significant as it captures the complexities of substance use and its impact on sleep, allowing for targeted treatment and better understanding of patient needs.