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 CodesF13.11

F13.11

Billable

Sedative, hypnotic or anxiolytic abuse, in remission

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

Code Description

ICD-10 F13.11 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic abuse, in remission.

Key Diagnostic Point:

F13.11 refers to a condition characterized by the abuse of sedative, hypnotic, or anxiolytic substances, which are often used to induce sleep, reduce anxiety, or promote relaxation. This code specifically indicates that the individual is currently in remission, meaning they are not actively using these substances and are not experiencing withdrawal symptoms or intoxication. Remission can be defined as a period during which the individual has not engaged in substance use for a specified duration, typically at least 12 months. The diagnosis of sedative, hypnotic, or anxiolytic abuse involves a pattern of use that leads to significant impairment or distress, including but not limited to tolerance, withdrawal, and continued use despite negative consequences. Treatment often involves behavioral therapies, counseling, and support groups, focusing on relapse prevention and coping strategies. It is crucial for healthcare providers to document the patient's history of substance use, treatment progress, and any ongoing support mechanisms to ensure accurate coding and appropriate care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between active abuse and remission
  • Understanding the nuances of substance use disorders
  • Documenting the duration of remission accurately
  • Identifying co-occurring mental health conditions

Audit Risk Factors

  • Inadequate documentation of remission duration
  • Failure to document treatment progress
  • Misclassification of active use versus remission
  • Lack of evidence for co-occurring conditions

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, treatment plans, and progress notes.

Common Clinical Scenarios

Patients transitioning from active use to remission, relapse prevention strategies.

Billing Considerations

Ensure comprehensive documentation of treatment modalities and patient engagement.

Psychiatry

Documentation Requirements

Mental health assessments, treatment history, and ongoing evaluations.

Common Clinical Scenarios

Patients with co-occurring mental health disorders and substance use issues.

Billing Considerations

Documenting the interplay between mental health and substance use for accurate coding.

Coding Guidelines

Inclusion Criteria

Use F13.11 When
  • According to ICD
  • 10 guidelines, F13
  • 11 should be used when the patient has a documented history of sedative, hypnotic, or anxiolytic abuse but is currently in remission
  • Coders must ensure that the documentation supports the diagnosis and that the criteria for remission are met

Exclusion Criteria

Do NOT use F13.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Assessment and treatment planning

Clinical Scenario

Used during initial evaluations for patients in remission.

Documentation Requirements

Document the assessment findings and treatment goals.

Specialty Considerations

Addiction specialists should focus on substance use history.

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 distinction between active abuse and remission, which aids in better treatment planning and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the distinction between active abuse and remission, which aids in better treatment planning and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the distinction between active abuse and remission, which aids in better treatment planning and resource allocation.

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 does 'in remission' mean in the context of F13.11?

In the context of F13.11, 'in remission' means that the individual has not engaged in sedative, hypnotic, or anxiolytic substance use for a specified period, typically at least 12 months, and is not experiencing withdrawal symptoms or intoxication.