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ICD-10 Guide
ICD-10 CodesF13.980

F13.980

Billable

Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced anxiety disorder

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

Code Description

ICD-10 F13.980 is a billable code used to indicate a diagnosis of sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced anxiety disorder.

Key Diagnostic Point:

F13.980 refers to a condition characterized by the use of sedative, hypnotic, or anxiolytic substances that leads to anxiety disorders. Patients may misuse these substances for their calming effects, but prolonged use can result in dependence and withdrawal symptoms. The anxiety disorder induced by these substances can manifest as excessive worry, restlessness, and physical symptoms such as increased heart rate and sweating. This code is used when the specific substance is not identified, but the clinical picture indicates a clear link between substance use and anxiety symptoms. Treatment often involves a combination of psychotherapy and medication management, focusing on both the substance use disorder and the anxiety disorder. Clinicians must carefully assess the patient's history and current symptoms to provide appropriate care and avoid exacerbating the anxiety through withdrawal or misuse of other substances.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of substance use complicates diagnosis.
  • Potential overlap with other anxiety disorders.
  • Need for comprehensive patient history to determine substance use.
  • Variability in symptoms based on individual patient factors.

Audit Risk Factors

  • Inadequate documentation linking substance use to anxiety disorder.
  • Failure to specify the type of sedative or anxiolytic used.
  • Misclassification of anxiety symptoms as primary rather than induced.
  • Lack of evidence for treatment plans addressing both disorders.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including substance use patterns and anxiety symptoms.

Common Clinical Scenarios

Patients presenting with anxiety symptoms after recent sedative use.

Billing Considerations

Consideration of co-occurring mental health disorders and substance use history.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use history and treatment plans.

Common Clinical Scenarios

Patients undergoing detoxification from sedatives with concurrent anxiety symptoms.

Billing Considerations

Focus on withdrawal management and potential for relapse.

Coding Guidelines

Inclusion Criteria

Use F13.980 When
  • Follow ICD
  • CM guidelines for substance use disorders, ensuring accurate documentation of the relationship between substance use and anxiety symptoms

Exclusion Criteria

Do NOT use F13.980 When
  • Exclude cases where anxiety is not linked to substance use

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for patients with anxiety and substance use issues.

Documentation Requirements

Document history, examination, and medical decision-making.

Specialty Considerations

Psychiatric evaluations may require additional documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of substance use disorders and their complications, improving the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of substance use disorders and their complications, improving the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of substance use disorders and their complications, improving the accuracy of patient records and treatment plans.

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 significance of the unspecified nature of F13.980?

The unspecified nature indicates that the specific sedative, hypnotic, or anxiolytic is not documented, which can complicate treatment and coding. It is crucial for providers to specify the substance when possible to ensure accurate treatment and billing.