F13.121
BillableSedative, hypnotic or anxiolytic abuse with intoxication delirium
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, experiencing confusion, disorientation, and altered consciousness (delirium).
Coding Tips
- •Delirium indicates acute confusion and altered mental status requiring immediate clinical attention
- •Document vital signs and mental status findings to support this more severe diagnosis
Clinical Significance
Sedative, hypnotic, or anxiolytic abuse with intoxication delirium represents a medical emergency. Delirium during sedative intoxication indicates severe central nervous system depression with confusion, disorientation, and potentially life-threatening respiratory compromise. This diagnosis requires immediate medical intervention, often in an emergency department or intensive care setting, and reflects very high clinical acuity and resource utilization.
Documentation Requirements
- ✓Documentation of sedative/hypnotic/anxiolytic abuse
- ✓Acute delirium findings: confusion, disorientation, altered consciousness, fluctuating attention
- ✓Temporal relationship between substance use and delirium onset
- ✓Mental status examination documenting delirium
- ✓Vital signs including respiratory rate, oxygen saturation
- ✓Assessment for respiratory depression and need for airway management
- ✓Exclusion of other causes of delirium
Commonly Confused Codes
F13.120 — Sedative abuse with intoxication, uncomplicated; use when no delirium is presentF13.129 — Sedative abuse with intoxication, unspecified; use when intoxication details are unclearF13.221 — Sedative dependence with intoxication delirium; use when dependence is documentedT42.4X1A — Poisoning by benzodiazepines, accidental; consider when overdose is the scenario
Code Hierarchy
└F13Sedative, hypnotic, or anxiolytic related disorders└F13.1Sedative, hypnotic or anxiolytic-related abuse└F13.12Sedative, hypnotic or anxiolytic abuse with intoxication└F13.121Sedative, hypnotic or anxiolytic abuse with intoxication delirium
└F13.121Sedative, hypnotic or anxiolytic abuse with intoxication delirium