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ICD-10 Guide
ICD-10 CodesF13.239

F13.239

Billable

Sedative, hypnotic or anxiolytic dependence with withdrawal, unspecified

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

Code Description

ICD-10 F13.239 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic dependence with withdrawal, unspecified.

Key Diagnostic Point:

F13.239 refers to a condition characterized by the dependence on sedative, hypnotic, or anxiolytic substances, accompanied by withdrawal symptoms. This diagnosis is applicable when an individual has developed a tolerance to these substances, leading to increased consumption to achieve the desired effects. Withdrawal symptoms may include anxiety, insomnia, tremors, and seizures, which can occur when the substance is reduced or discontinued. The unspecified nature of this code indicates that the specific substance causing the dependence is not documented, making it crucial for healthcare providers to ensure thorough documentation of the patient's substance use history. Treatment often involves a combination of medical detoxification, psychological support, and rehabilitation programs tailored to the individual’s needs. Understanding the nuances of this diagnosis is essential for effective treatment planning and accurate coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in withdrawal symptoms based on the specific substance used.
  • Need for comprehensive patient history to determine the substance involved.
  • Potential for co-occurring mental health disorders complicating diagnosis.
  • Documentation requirements for specifying withdrawal symptoms.

Audit Risk Factors

  • Inadequate documentation of withdrawal symptoms.
  • Failure to specify the substance leading to dependence.
  • Misclassification of the severity of dependence.
  • Inconsistent coding across different healthcare providers.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed substance use history, withdrawal symptom assessment, and treatment plans.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms after cessation of sedative use.

Billing Considerations

Ensure accurate documentation of the specific sedative or anxiolytic used.

Psychiatry

Documentation Requirements

Mental health evaluations, history of substance use, and treatment response.

Common Clinical Scenarios

Patients with co-occurring anxiety disorders and sedative dependence.

Billing Considerations

Documenting the interplay between mental health and substance use.

Coding Guidelines

Inclusion Criteria

Use F13.239 When
  • According to ICD
  • 10 coding guidelines, F13
  • 239 should be used when there is evidence of dependence on sedative, hypnotic, or anxiolytic substances with withdrawal symptoms
  • It is essential to document the patient's substance use history and the specific withdrawal symptoms experienced

Exclusion Criteria

Do NOT use F13.239 When
  • Exclusion criteria include cases where the substance is clearly identified, which would necessitate a more specific code

Related ICD-10 Codes

Related CPT Codes

H0031CPT Code

Mental health assessment

Clinical Scenario

Used during initial evaluations for patients with suspected sedative dependence.

Documentation Requirements

Comprehensive assessment notes and treatment plans.

Specialty Considerations

Addiction specialists should document specific 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, improving the ability to track and treat conditions like sedative dependence. F13.239 provides a clear framework for documenting withdrawal, which is critical for treatment planning and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, improving the ability to track and treat conditions like sedative dependence. F13.239 provides a clear framework for documenting withdrawal, which is critical for treatment planning and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 common withdrawal symptoms associated with sedative dependence?

Common withdrawal symptoms include anxiety, insomnia, tremors, seizures, and in severe cases, delirium tremens. The severity and type of symptoms can vary based on the specific sedative or anxiolytic used.