F13.132

Billable

Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance

HCC Category Mapping

V28HCC 135 — Drug/Alcohol Psychosis

0.000

V24HCC 54 — Drug/Alcohol Psychosis

0.434

ESRDHCC 54 — Drug/Alcohol Psychosis

0.000

What This Code Means

A person misuses sedatives, sleeping pills, or anti-anxiety medications and is experiencing withdrawal with hallucinations, delusions, or other perceptual disturbances while maintaining clear consciousness.

Coding Tips

•Perceptual disturbance indicates hallucinations or delusions without the confusion of delirium
•Distinguish from F13.131 (delirium) by noting that consciousness and orientation are relatively preserved

Clinical Significance

Sedative, hypnotic, or anxiolytic abuse with withdrawal with perceptual disturbance represents a serious withdrawal complication where the patient experiences hallucinations or illusions while maintaining relatively clear consciousness. This distinguishes from withdrawal delirium where consciousness is impaired. Perceptual disturbances during sedative withdrawal indicate significant central nervous system excitability and risk for progression to withdrawal seizures or delirium.

Documentation Requirements

✓Documentation of sedative/hypnotic/anxiolytic abuse
✓Description of perceptual disturbances (visual, auditory, or tactile hallucinations; illusions)
✓Confirmation that consciousness and orientation are relatively preserved (distinguishing from delirium)
✓Temporal relationship to cessation or reduction of sedative use
✓Exclusion of other causes of hallucinations
✓Monitoring for progression to withdrawal delirium or seizures

Commonly Confused Codes

F13.131 — Sedative abuse with withdrawal delirium; use when consciousness is impaired along with hallucinations F13.130 — Sedative abuse with withdrawal, uncomplicated; use when no perceptual disturbances occur F13.150 — Sedative abuse with sedative-induced psychotic disorder with delusions; use when psychosis is not withdrawal-related F13.232 — Sedative dependence with withdrawal with perceptual disturbance; 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 └F13.132Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance

└F13.132Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance