F13.130

Billable

Sedative, hypnotic or anxiolytic abuse with withdrawal, uncomplicated

HCC Category Mapping

V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe

0.358

V24HCC 55 — Drug/Alcohol Dependence

0.334

ESRDHCC 55 — Drug/Alcohol Dependence

0.000

What This Code Means

A person misuses sedatives, sleeping pills, or anti-anxiety medications and is experiencing withdrawal symptoms (such as anxiety, tremors, or insomnia) without severe complications.

Coding Tips

•Withdrawal indicates the body is reacting to reduced or stopped use of these substances
•Uncomplicated means no delirium or seizures are present; monitor for progression

Clinical Significance

Sedative, hypnotic, or anxiolytic abuse with uncomplicated withdrawal captures a patient experiencing withdrawal symptoms after reducing or stopping sedative medications in the context of abuse. Sedative withdrawal is medically significant because — unlike cannabis or opioid withdrawal — it can be life-threatening, with risks including seizures and delirium tremens. Even uncomplicated withdrawal requires careful monitoring for potential progression to more severe withdrawal states.

Documentation Requirements

✓Documentation of sedative/hypnotic/anxiolytic abuse
✓Specific withdrawal symptoms (anxiety, tremors, insomnia, nausea, tachycardia, sweating, irritability)
✓Temporal relationship between cessation/reduction and symptom onset
✓Confirmation of uncomplicated status — no seizures, delirium, or perceptual disturbances
✓Vital signs monitoring documentation
✓Assessment using a standardized withdrawal scale if available

Commonly Confused Codes

F13.131 — Sedative abuse with withdrawal delirium; use when delirium is present during withdrawal F13.132 — Sedative abuse with withdrawal with perceptual disturbance; use when hallucinations occur during withdrawal F13.139 — Sedative abuse with withdrawal, unspecified; use when withdrawal details are unclear F13.230 — Sedative dependence with withdrawal, uncomplicated; use when dependence is documented

Code Hierarchy

└F13Sedative, hypnotic, or anxiolytic related disorders └F13.1Sedative, hypnotic or anxiolytic-related abuse └F13.13Sedative, hypnotic or anxiolytic abuse with withdrawal └F13.130Sedative, hypnotic or anxiolytic abuse with withdrawal, uncomplicated

└F13.130Sedative, hypnotic or anxiolytic abuse with withdrawal, uncomplicated