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 CodesF13.188

F13.188

Billable

Sedative, hypnotic or anxiolytic abuse with other sedative, hypnotic or anxiolytic-induced disorder

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

Code Description

ICD-10 F13.188 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic abuse with other sedative, hypnotic or anxiolytic-induced disorder.

Key Diagnostic Point:

F13.188 refers to a condition characterized by the abuse of sedative, hypnotic, or anxiolytic substances, leading to other induced disorders. This includes a range of psychological and physical symptoms resulting from the misuse of these substances, which are often prescribed for anxiety, sleep disorders, or muscle relaxation. Patients may experience withdrawal symptoms, tolerance, and cravings, which can significantly impair their daily functioning. The abuse of these substances can lead to serious health complications, including respiratory depression, cognitive impairment, and increased risk of overdose. Treatment typically involves a combination of detoxification, counseling, and rehabilitation programs tailored to the individual's needs. Clinicians must carefully document the patient's substance use history, the severity of the disorder, and any co-occurring mental health conditions to ensure accurate coding and appropriate treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various sedative, hypnotic, and anxiolytic substances.
  • Identifying and documenting the specific induced disorders.
  • Assessing the severity of abuse and its impact on the patient's life.
  • Co-occurring mental health disorders that may complicate the diagnosis.

Audit Risk Factors

  • Inadequate documentation of substance use history.
  • Failure to specify the induced disorder.
  • Lack of evidence for the severity of abuse.
  • Misclassification of the type of substance abused.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with anxiety disorders who misuse prescribed medications.

Billing Considerations

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

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use, including withdrawal symptoms and treatment history.

Common Clinical Scenarios

Patients undergoing detoxification and rehabilitation for sedative abuse.

Billing Considerations

Focus on the multidisciplinary approach to treatment, including counseling and support services.

Coding Guidelines

Inclusion Criteria

Use F13.188 When
  • According to ICD
  • 10 guidelines, F13
  • 188 should be used when there is clear evidence of sedative, hypnotic, or anxiolytic abuse accompanied by other induced disorders
  • Coders must ensure that documentation supports the diagnosis and reflects the complexity of the patient's condition

Exclusion Criteria

Do NOT use F13.188 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0031CPT Code

Mental health assessment

Clinical Scenario

Used for initial evaluation of patients with suspected sedative abuse.

Documentation Requirements

Comprehensive assessment notes detailing substance use history and mental health status.

Specialty Considerations

Psychiatric evaluations should include substance use screening.

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 differentiation between abuse and dependence, 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 differentiation between abuse and dependence, 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 differentiation between abuse and dependence, 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 is the difference between sedative abuse and dependence?

Sedative abuse refers to the misuse of sedative medications leading to harmful consequences, while dependence involves a physical and psychological reliance on the substance, characterized by tolerance and withdrawal symptoms.