Sedative, hypnotic or anxiolytic dependence with intoxication delirium
ICD-10 F13.221 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic dependence with intoxication delirium.
F13.221 refers to a condition characterized by a dependence on sedative, hypnotic, or anxiolytic substances, accompanied by episodes of delirium due to intoxication. This condition is often seen in individuals who misuse medications such as benzodiazepines or barbiturates, leading to both physical and psychological dependence. Symptoms of intoxication delirium may include confusion, altered consciousness, agitation, and hallucinations. The dependence can result in significant impairment in social, occupational, or other important areas of functioning. Treatment typically involves a combination of detoxification, psychological support, and rehabilitation programs aimed at addressing both the substance use disorder and the underlying mental health issues. Clinicians must carefully monitor patients for withdrawal symptoms and potential complications during treatment, as abrupt cessation of these substances can lead to severe withdrawal symptoms, including seizures and delirium tremens.
Detailed history of substance use, mental health evaluations, and treatment plans.
Patients presenting with acute delirium, history of substance misuse, and co-occurring mental health disorders.
Ensure thorough documentation of both psychiatric and substance use assessments.
Comprehensive assessment of substance use patterns, withdrawal symptoms, and treatment response.
Patients undergoing detoxification and rehabilitation for sedative dependence.
Focus on documenting the treatment plan and patient progress in recovery.
Used during initial evaluation of a patient with suspected substance use disorder.
Comprehensive assessment notes detailing substance use history and mental health status.
Psychiatric evaluations should include specific inquiries about substance use.
F13.221 specifies that the patient has both dependence on sedatives, hypnotics, or anxiolytics and is experiencing intoxication delirium, while F13.20 indicates dependence without the acute delirium state.
