F13.120
BillableSedative, hypnotic or anxiolytic abuse with intoxication, uncomplicated
HCC Category Mapping
V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe
0.358V24HCC 55 — Drug/Alcohol Dependence
0.334ESRDHCC 55 — Drug/Alcohol Dependence
0.000What This Code Means
A person misuses sedatives, sleeping pills, or anti-anxiety medications and is currently intoxicated from these drugs, without severe complications like delirium.
Coding Tips
- •Intoxication indicates active drug effects present at time of assessment
- •Uncomplicated means no delirium or other severe mental status changes are occurring
Clinical Significance
Sedative, hypnotic, or anxiolytic abuse with uncomplicated intoxication identifies a patient currently under the influence of these substances in the context of documented abuse. Sedative intoxication can present with slurred speech, incoordination, unsteady gait, impaired attention, and memory difficulties. This diagnosis is important because sedative intoxication carries risks of respiratory depression, aspiration, and falls, particularly in combination with other central nervous system depressants.
Documentation Requirements
- ✓Documentation of sedative/hypnotic/anxiolytic abuse pattern
- ✓Evidence of current intoxication at the encounter
- ✓Description of intoxication symptoms (slurred speech, incoordination, sedation, cognitive impairment)
- ✓Confirmation that intoxication is uncomplicated — no delirium present
- ✓Identification of the specific substance if possible
- ✓Assessment of respiratory status and fall risk
Commonly Confused Codes
F13.10 — Sedative, hypnotic or anxiolytic abuse, uncomplicated; use when no intoxication is presentF13.121 — Sedative, hypnotic or anxiolytic abuse with intoxication delirium; use when delirium accompanies intoxicationF13.220 — Sedative, hypnotic or anxiolytic dependence with intoxication, uncomplicated; use when dependence is documentedT42.4X1A — Poisoning by benzodiazepines, accidental; use when overdose/poisoning is the clinical scenario
Code Hierarchy
└F13Sedative, hypnotic, or anxiolytic related disorders└F13.1Sedative, hypnotic or anxiolytic-related abuse└F13.12Sedative, hypnotic or anxiolytic abuse with intoxication└F13.120Sedative, hypnotic or anxiolytic abuse with intoxication, uncomplicated
└F13.120Sedative, hypnotic or anxiolytic abuse with intoxication, uncomplicated