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ICD-10 Guide
ICD-10 CodesF13.93

F13.93

Billable

Sedative, hypnotic or anxiolytic use, unspecified with withdrawal

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

Code Description

ICD-10 F13.93 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic use, unspecified with withdrawal.

Key Diagnostic Point:

F13.93 refers to a condition characterized by the use of sedative, hypnotic, or anxiolytic substances that leads to withdrawal symptoms when the substance is reduced or discontinued. This code is used when the specific substance is not identified, but the patient exhibits signs of withdrawal, which may include anxiety, tremors, insomnia, and other physical symptoms. Withdrawal from these substances can be severe and may require medical intervention. The condition is often associated with a history of substance use disorder, where the individual has developed a tolerance to the substance, leading to increased consumption and dependence. Treatment typically involves a medically supervised detoxification process, followed by rehabilitation programs that may include counseling, behavioral therapies, and support groups to address the underlying addiction and prevent relapse.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of the substance used
  • Variability in withdrawal symptoms
  • Need for comprehensive patient history
  • Potential for co-occurring mental health disorders

Audit Risk Factors

  • Inadequate documentation of withdrawal symptoms
  • Failure to specify the substance used
  • Lack of treatment plan details
  • Misclassification of withdrawal severity

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed patient history, substance use patterns, withdrawal symptoms, and treatment plans.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms after cessation of sedatives or anxiolytics.

Billing Considerations

Ensure accurate documentation of the patient's substance use history and any co-occurring disorders.

Psychiatry

Documentation Requirements

Comprehensive mental health evaluations, including assessment of withdrawal symptoms and treatment response.

Common Clinical Scenarios

Patients with anxiety disorders who misuse sedatives and present with withdrawal symptoms.

Billing Considerations

Document any psychiatric evaluations and treatment adjustments made during withdrawal.

Coding Guidelines

Inclusion Criteria

Use F13.93 When
  • According to ICD
  • 10 coding guidelines, F13
  • 93 should be used when there is evidence of withdrawal from sedative, hypnotic, or anxiolytic substances without specification of the substance
  • It is important to document the severity of withdrawal and any treatment provided

Exclusion Criteria

Do NOT use F13.93 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 withdrawal symptoms.

Documentation Requirements

Document the assessment findings and treatment recommendations.

Specialty Considerations

Ensure that the assessment aligns with the diagnosis of F13.93.

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 withdrawal symptoms, which enhances the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including withdrawal symptoms, which enhances the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including withdrawal symptoms, which enhances the ability to track and manage these conditions effectively.

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 primary symptoms of withdrawal from sedatives?

Common symptoms include anxiety, tremors, insomnia, sweating, and in severe cases, seizures. These symptoms can vary in intensity based on the duration and amount of substance used.