Sedative, hypnotic or anxiolytic abuse with intoxication delirium
ICD-10 F13.121 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic abuse with intoxication delirium.
F13.121 refers to a condition characterized by the abuse of sedative, hypnotic, or anxiolytic substances, leading to a state of intoxication delirium. This condition is marked by a significant impairment in cognitive function, including confusion, disorientation, and altered consciousness, which can result from the excessive use of medications such as benzodiazepines or barbiturates. Patients may exhibit symptoms such as drowsiness, slurred speech, and impaired coordination. The diagnosis requires a thorough assessment of the patient's substance use history, including the frequency and quantity of substance intake, as well as the presence of withdrawal symptoms when not using the substance. Treatment typically involves a combination of medical detoxification, psychological support, and rehabilitation programs aimed at addressing the underlying substance use disorder. Clinicians must carefully monitor patients for potential complications, including respiratory depression and the risk of overdose, which can be life-threatening.
Detailed psychiatric evaluation, including mental status examination and substance use history.
Patients presenting with acute confusion, altered mental status, or overdose symptoms.
Consideration of co-occurring mental health disorders and the need for integrated treatment plans.
Comprehensive assessment of substance use patterns, including frequency, quantity, and impact on daily functioning.
Patients in withdrawal or seeking detoxification services.
Coordination with mental health services for dual diagnosis treatment.
Used during initial evaluation of a patient with suspected substance use disorder.
Comprehensive assessment notes including history and mental status.
Psychiatric evaluation must be thorough to support diagnosis.
F13.120 refers to sedative, hypnotic, or anxiolytic abuse without the presence of intoxication delirium, while F13.121 specifically includes cases where the patient exhibits delirium as a result of substance abuse.
