F13.129
BillableSedative, hypnotic or anxiolytic abuse with intoxication, unspecified
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, but the severity or specific features of intoxication are not documented.
Coding Tips
- •Use this code when intoxication is documented but details about delirium or complications are unclear
- •Request clarification on mental status and presence of delirium to assign a more specific code
Clinical Significance
Sedative, hypnotic, or anxiolytic abuse with unspecified intoxication is used when intoxication is present but the specific features are not documented. This code captures the clinical event but represents a documentation gap. Given the potential severity of sedative intoxication, including respiratory depression, providers should be queried about the presence of delirium or other complications to assign a more specific and clinically useful code.
Documentation Requirements
- ✓Documentation of sedative/hypnotic/anxiolytic abuse
- ✓Evidence of intoxication at the encounter
- ✓Basic clinical findings supporting intoxication
- ✓Documentation of why more specific intoxication details could not be determined
Commonly Confused Codes
F13.120 — Sedative abuse with intoxication, uncomplicated; use when documentation confirms uncomplicated intoxicationF13.121 — Sedative abuse with intoxication delirium; use when delirium is presentF13.10 — Sedative abuse, uncomplicated; use when no intoxication is presentF13.229 — Sedative dependence with intoxication, unspecified; use when dependence is documented
Code Hierarchy
└F13Sedative, hypnotic, or anxiolytic related disorders└F13.1Sedative, hypnotic or anxiolytic-related abuse└F13.12Sedative, hypnotic or anxiolytic abuse with intoxication└F13.129Sedative, hypnotic or anxiolytic abuse with intoxication, unspecified
└F13.129Sedative, hypnotic or anxiolytic abuse with intoxication, unspecified