F13.11
BillableSedative, hypnotic or anxiolytic abuse, in remission
HCC Category Mapping
V28HCC 138 — Drug Use Disorder/Substance Use Disorder, Mild
0.476V24HCC 56 — Drug/Alcohol Abuse, Without Dependence
0.000ESRDHCC 56 — Drug/Alcohol Abuse, Without Dependence
0.000What This Code Means
A person previously misused sedatives, sleeping pills, or anti-anxiety medications but is now in recovery and no longer actively abusing these substances.
Coding Tips
- •In remission indicates the patient has achieved sustained abstinence or controlled use
- •Document the length of remission (early or sustained) if available for more specific coding
Clinical Significance
Sedative, hypnotic, or anxiolytic abuse in remission documents a patient who previously misused these medications but is now in recovery. This is clinically significant because it recognizes the chronic relapsing nature of substance abuse and the need for ongoing monitoring. Patients with a history of sedative abuse remain at elevated risk for relapse, particularly when prescribed benzodiazepines or other sedating medications in the future.
Documentation Requirements
- ✓History of sedative, hypnotic, or anxiolytic abuse meeting clinical criteria
- ✓Documentation of current abstinence from the abused substance(s)
- ✓Duration of remission (early or sustained) if available
- ✓Ongoing monitoring plan and relapse prevention strategies
- ✓Provider statement confirming remission status
Commonly Confused Codes
F13.10 — Sedative, hypnotic or anxiolytic abuse, uncomplicated; use when abuse is active (not in remission)F13.21 — Sedative, hypnotic or anxiolytic dependence, in remission; use when the historical disorder was dependence-levelZ87.890 — Personal history of other mental and behavioral disorders; less specific for substance use historyF13.90 — Sedative, hypnotic or anxiolytic use, unspecified, uncomplicated; use when severity is unspecified
Code Hierarchy
└F13Sedative, hypnotic, or anxiolytic related disorders└F13.1Sedative, hypnotic or anxiolytic-related abuse└F13.11Sedative, hypnotic or anxiolytic abuse, in remission
└F13.11Sedative, hypnotic or anxiolytic abuse, in remission