ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesF13.920

F13.920

Billable

Sedative, hypnotic or anxiolytic use, unspecified with intoxication, uncomplicated

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

Code Description

ICD-10 F13.920 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic use, unspecified with intoxication, uncomplicated.

Key Diagnostic Point:

F13.920 refers to the use of sedatives, hypnotics, or anxiolytics that leads to uncomplicated intoxication. This condition is characterized by the consumption of substances that depress the central nervous system, resulting in symptoms such as drowsiness, confusion, and impaired coordination. The intoxication is deemed uncomplicated when it does not lead to severe complications such as respiratory depression or coma. Patients may present with altered mental status, slurred speech, and decreased motor skills. The diagnosis is crucial for guiding treatment, which may include supportive care and monitoring. Understanding the patient's history of substance use, including the type and amount of substance consumed, is essential for effective management. Treatment programs may involve detoxification, counseling, and rehabilitation to address underlying substance use disorders and prevent future episodes of intoxication.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and symptoms
  • Need for comprehensive patient history
  • Differentiation from other substance use disorders
  • Potential for co-occurring mental health conditions

Audit Risk Factors

  • Inadequate documentation of intoxication severity
  • Failure to document substance type and amount
  • Misclassification of uncomplicated vs. complicated intoxication
  • Lack of evidence for treatment provided

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed substance use history, treatment plans, and progress notes.

Common Clinical Scenarios

Patients presenting with acute intoxication, withdrawal symptoms, or seeking rehabilitation.

Billing Considerations

Consideration of co-occurring mental health disorders and comprehensive treatment approaches.

Emergency Medicine

Documentation Requirements

Immediate assessment findings, vital signs, and interventions performed.

Common Clinical Scenarios

Patients arriving in the emergency department with altered mental status due to intoxication.

Billing Considerations

Rapid assessment and stabilization of the patient, including monitoring for complications.

Coding Guidelines

Inclusion Criteria

Use F13.920 When
  • According to ICD
  • 10 guidelines, F13
  • 920 should be used when the intoxication is uncomplicated and does not lead to severe medical complications
  • Coders must ensure that the diagnosis aligns with clinical documentation and treatment provided

Exclusion Criteria

Do NOT use F13.920 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with uncomplicated intoxication requiring moderate medical decision-making.

Documentation Requirements

Document the patient's history, examination findings, and treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation to support the level of service billed.

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 manage these conditions effectively. F13.920 provides a clear classification for uncomplicated intoxication, aiding in treatment and reimbursement processes.

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 manage these conditions effectively. F13.920 provides a clear classification for uncomplicated intoxication, aiding in treatment 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 is the difference between uncomplicated and complicated intoxication?

Uncomplicated intoxication refers to symptoms that do not lead to severe medical complications, while complicated intoxication may involve respiratory distress, coma, or other serious health issues requiring more intensive treatment.