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ICD-10 Guide
ICD-10 CodesF13.229

F13.229

Billable

Sedative, hypnotic or anxiolytic dependence with intoxication, unspecified

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

Code Description

ICD-10 F13.229 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic dependence with intoxication, unspecified.

Key Diagnostic Point:

F13.229 refers to a condition characterized by the dependence on sedative, hypnotic, or anxiolytic substances, accompanied by intoxication. This diagnosis is applicable when an individual exhibits a compulsive pattern of use of these substances, leading to significant impairment or distress. Symptoms of intoxication may include drowsiness, confusion, impaired coordination, and respiratory depression. Dependence is indicated by tolerance (requiring increased amounts to achieve the desired effect) and withdrawal symptoms upon cessation. The unspecified nature of this code indicates that the specific substance involved is not documented, which can complicate treatment and management strategies. Treatment typically involves a combination of detoxification, behavioral therapies, and support groups, aimed at addressing both the physical and psychological aspects of addiction. Clinicians must carefully monitor patients for withdrawal symptoms and potential complications during treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of specific substances used
  • Need for comprehensive assessment of withdrawal symptoms
  • Potential overlap with other substance use disorders
  • Challenges in distinguishing between dependence and intoxication

Audit Risk Factors

  • Inadequate documentation of substance use history
  • Failure to document withdrawal symptoms
  • Misclassification of intoxication severity
  • Lack of evidence for treatment interventions

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, including types and amounts of substances used, and any previous treatment attempts.

Common Clinical Scenarios

Patients presenting with acute intoxication, withdrawal symptoms, or seeking treatment for substance dependence.

Billing Considerations

Accurate documentation of the patient's clinical status and treatment plan is crucial for effective management and reimbursement.

Psychiatry

Documentation Requirements

Comprehensive psychiatric evaluation, including mental status examination and assessment of co-occurring mental health disorders.

Common Clinical Scenarios

Patients with dual diagnoses of anxiety disorders and sedative dependence.

Billing Considerations

Consideration of the patient's mental health history and potential for relapse is essential.

Coding Guidelines

Inclusion Criteria

Use F13.229 When
  • According to ICD
  • 10 guidelines, F13
  • 229 should be used when there is evidence of dependence on sedative, hypnotic, or anxiolytic substances with intoxication, and when the specific substance is not documented
  • Coders should ensure that all relevant clinical information is captured to support the diagnosis

Exclusion Criteria

Do NOT use F13.229 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0031CPT Code

Mental health assessment

Clinical Scenario

Used when assessing a patient for substance dependence.

Documentation Requirements

Comprehensive assessment notes detailing the patient's substance use history and current symptoms.

Specialty Considerations

Addiction specialists should ensure thorough documentation to support the diagnosis.

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 dependence with and without intoxication. This specificity 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 dependence with and without intoxication. This specificity 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 dependence with and without intoxication. This specificity 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 F13.229 and F13.21?

F13.229 is used when there is evidence of intoxication alongside dependence, while F13.21 is used when dependence exists without any intoxication symptoms.