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ICD-10 Guide
ICD-10 CodesF13.280

F13.280

Billable

Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced anxiety disorder

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

Code Description

ICD-10 F13.280 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced anxiety disorder.

Key Diagnostic Point:

F13.280 refers to a condition characterized by the dependence on sedative, hypnotic, or anxiolytic substances, which leads to the development of an anxiety disorder induced by these substances. Patients with this diagnosis often exhibit a pattern of compulsive use of medications such as benzodiazepines or barbiturates, which can result in tolerance and withdrawal symptoms. The induced anxiety disorder manifests as heightened anxiety levels that occur during periods of intoxication or withdrawal from these substances. Clinically, this condition can complicate treatment approaches, as the anxiety symptoms may be exacerbated by the very substances intended to alleviate anxiety. Effective management typically requires a multidisciplinary approach, including detoxification, psychotherapy, and possibly the use of alternative medications to address both the dependence and the anxiety disorder. Understanding the interplay between substance use and mental health is crucial for effective treatment and recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between substance-induced anxiety and primary anxiety disorders.
  • Documenting the severity and duration of substance use and its impact on mental health.
  • Identifying withdrawal symptoms versus anxiety symptoms.
  • Co-occurring mental health disorders complicating the diagnosis.

Audit Risk Factors

  • Inadequate documentation of substance use history.
  • Failure to specify the type of sedative or anxiolytic used.
  • Lack of evidence for the induced anxiety disorder.
  • Misclassification of withdrawal symptoms as anxiety.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed history of substance use, mental health evaluations, and treatment plans.

Common Clinical Scenarios

Patients presenting with anxiety symptoms during withdrawal or while on sedatives.

Billing Considerations

Need for careful monitoring of withdrawal symptoms and potential for relapse.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use patterns and co-occurring mental health disorders.

Common Clinical Scenarios

Patients seeking treatment for substance dependence with concurrent anxiety issues.

Billing Considerations

Integration of behavioral therapies and pharmacotherapy in treatment plans.

Coding Guidelines

Inclusion Criteria

Use F13.280 When
  • Follow the ICD
  • CM coding guidelines for substance use disorders, ensuring accurate documentation of the dependence and the induced anxiety disorder
  • Include details on the severity and duration of symptoms

Exclusion Criteria

Do NOT use F13.280 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits in patients with sedative dependence and anxiety.

Documentation Requirements

Document the patient's history, mental status examination, and treatment plan.

Specialty Considerations

Psychiatric evaluations may require additional documentation of mental health assessments.

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, enabling better tracking of treatment outcomes and resource allocation for patients with complex needs like those represented by F13.280.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, enabling better tracking of treatment outcomes and resource allocation for patients with complex needs like those represented by F13.280.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, enabling better tracking of treatment outcomes and resource allocation for patients with complex needs like those represented by F13.280.

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 F13.280 and F13.10?

F13.280 includes the presence of an induced anxiety disorder due to sedative dependence, while F13.10 refers to dependence without withdrawal or induced anxiety.