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ICD-10 Guide
ICD-10 CodesF13.930

F13.930

Billable

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

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

Code Description

ICD-10 F13.930 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic use, unspecified with withdrawal, uncomplicated.

Key Diagnostic Point:

F13.930 refers to a condition characterized by the use of sedative, hypnotic, or anxiolytic substances, leading to withdrawal symptoms that are uncomplicated. This diagnosis is often seen in individuals who have developed a dependence on these substances, which are commonly prescribed for anxiety, insomnia, or other related disorders. Withdrawal symptoms may include anxiety, agitation, tremors, and insomnia, but do not escalate to severe complications such as seizures or delirium. The diagnosis is classified as 'unspecified' when the specific substance is not identified, which can occur in cases where the patient is unable to recall the exact substance used or when multiple substances are involved. Treatment typically involves supportive care, monitoring of withdrawal symptoms, and may include the gradual tapering of the substance under medical supervision. Understanding the nuances of this diagnosis is crucial for effective treatment planning and accurate coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Inadequate documentation of withdrawal symptoms
  • Failure to specify the substance used
  • Misclassification of withdrawal severity
  • Lack of evidence for treatment provided

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, withdrawal symptoms, and treatment plan.

Common Clinical Scenarios

Patients presenting with anxiety or insomnia who have a history of sedative use.

Billing Considerations

Consideration of co-occurring mental health disorders and the need for a comprehensive treatment approach.

Psychiatry

Documentation Requirements

Thorough psychiatric evaluation, including mental status examination and substance use history.

Common Clinical Scenarios

Patients experiencing anxiety or mood disorders with a background of sedative use.

Billing Considerations

Monitoring for potential complications and the need for psychiatric intervention.

Coding Guidelines

Inclusion Criteria

Use F13.930 When
  • Follow ICD
  • CM guidelines for substance use disorders, ensuring accurate documentation of withdrawal symptoms and treatment

Exclusion Criteria

Do NOT use F13.930 When
  • Exclude cases with severe withdrawal symptoms or complications

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for patients undergoing treatment for withdrawal.

Documentation Requirements

Document the patient's history, symptoms, and treatment response.

Specialty Considerations

Ensure that the visit is linked to the diagnosis of withdrawal.

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 these conditions effectively. F13.930 provides a clear framework for coding uncomplicated withdrawal, enhancing treatment planning.

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 these conditions effectively. F13.930 provides a clear framework for coding uncomplicated withdrawal, enhancing treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, improving the ability to track and treat these conditions effectively. F13.930 provides a clear framework for coding uncomplicated withdrawal, enhancing treatment planning.

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 F13.930 and F13.931?

F13.930 is used for uncomplicated withdrawal symptoms, while F13.931 is for complicated withdrawal, which may include severe symptoms such as seizures or delirium.