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ICD-10 Guide
ICD-10 CodesF13.232

F13.232

Billable

Sedative, hypnotic or anxiolytic dependence with withdrawal with perceptual disturbance

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

Code Description

ICD-10 F13.232 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic dependence with withdrawal with perceptual disturbance.

Key Diagnostic Point:

F13.232 refers to a condition characterized by a dependence on sedative, hypnotic, or anxiolytic substances, accompanied by withdrawal symptoms that include perceptual disturbances. This diagnosis is often seen in individuals who have developed a tolerance to these substances, leading to increased consumption to achieve the desired effects. Withdrawal symptoms can manifest as anxiety, tremors, hallucinations, and altered sensory perceptions, which can significantly impair daily functioning. The presence of perceptual disturbances indicates a more severe withdrawal syndrome, necessitating careful management and treatment. Treatment typically involves a medically supervised detoxification process, followed by rehabilitation programs that may include cognitive-behavioral therapy (CBT), support groups, and medication-assisted treatment (MAT) to address both the psychological and physiological aspects of dependence. Accurate diagnosis and coding are crucial for appropriate treatment planning and insurance reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between dependence and abuse
  • Identifying specific withdrawal symptoms
  • Documenting perceptual disturbances accurately
  • Understanding the interplay of multiple substances

Audit Risk Factors

  • Inadequate documentation of withdrawal symptoms
  • Failure to specify perceptual disturbances
  • Misclassification of substance dependence vs. abuse
  • Lack of comprehensive treatment documentation

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Thorough documentation of substance use history, withdrawal symptoms, and treatment plans.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms after cessation of sedative use, requiring detoxification.

Billing Considerations

Consideration of co-occurring mental health disorders and the need for integrated treatment approaches.

Psychiatry

Documentation Requirements

Detailed psychiatric evaluations, including mental status exams and history of substance use.

Common Clinical Scenarios

Patients experiencing anxiety or psychosis related to sedative withdrawal.

Billing Considerations

Monitoring for potential complications such as seizures or severe anxiety during withdrawal.

Coding Guidelines

Inclusion Criteria

Use F13.232 When
  • According to ICD
  • 10 coding guidelines, F13
  • 232 should be used when there is clear documentation of dependence on sedative, hypnotic, or anxiolytic substances, accompanied by withdrawal symptoms and perceptual disturbances
  • It is essential to ensure that all criteria for substance use disorder are met

Exclusion Criteria

Do NOT use F13.232 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 sedative dependence and withdrawal symptoms.

Documentation Requirements

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

Specialty Considerations

Addiction specialists should ensure thorough documentation of 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 ability to capture the nuances of withdrawal symptoms and associated disturbances, which enhances treatment planning and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the ability to capture the nuances of withdrawal symptoms and associated disturbances, which enhances treatment planning and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 are the key symptoms of withdrawal associated with F13.232?

Key symptoms include anxiety, tremors, hallucinations, and perceptual disturbances such as altered sensory perceptions. These symptoms can vary in severity and may require medical intervention.