What is ICD-10 code F13.132?

F13.132 is the ICD-10-CM diagnosis code for Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance. 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. F13.132 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. F13.132 is part of the FY2026 ICD-10-CM code set published by the CMS National Center for Health Statistics and used on Medicare, Medicaid, and commercial claims in the United States.

Yes. F13.132 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. F13.132 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Which HCC does F13.132 map to under V28?

F13.132 maps to CMS-HCC V28 HCC 135 (Drug Use with Psychotic Complications). The category numbers, labels, and conditions come from the CMS-HCC V28 model file for payment year 2026.

2026 ICD-10-CM F13.132: Sedative, hypnotic

F13.132 maps to CMS-HCC V28 135. A source-labeled RAF reference is available. Documentation must support MEAT. MEAT criteria · RAF Calculator · HCC Buddy coding tools

ICD-10-CM Code View

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Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

Code lookupF13.132Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)

F13.132

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance

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.

Buddy Insight

CMS-HCC V28

Mapped

HCC 135

Drug Use with Psychotic Compl...

Code-level coefficient reference

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

Mapped

HCC 081

HHS-HCC 081 adult, RAF varies...

Code-level coefficient reference

ESRD/PACE

Mapped

HCC 54

Substance Use with Psychotic ...

Code-level coefficient reference

RXHCC

N/A

—

Not risk-adjusted for this model/period.

Not mapped

Code Book Path

Official

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

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F13.132 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for F13.132 in this effective period.

Related Child Codes

Official

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

F13.131Sedative, hypnotic or anxiolytic abuse with withdrawal delirium

F13.139Sedative, hypnotic or anxiolytic abuse with withdrawal, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for F13.132 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for F13.132 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F13.132 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F13.132 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F13.132 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance

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

MEAT Support

HCC Buddy guidance

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

Audit Caution

HCC Buddy guidance

Confusing perceptual disturbance with withdrawal delirium — the key difference is the level of consciousness

Using uncomplicated withdrawal codes when hallucinations are documented

Not monitoring for progression from perceptual disturbances to withdrawal delirium

Coding dependence when only abuse criteria are met

Common Mistakes

HCC Buddy guidance

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

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is F13.132 an HCC code?

Yes. F13.132 (Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance) maps to HCC 135, Drug Use with Psychotic Complications under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.424. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: F13.132 is billable and maps to V28 HCC 135, Drug Use with Psychotic Complications. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code: F13.132
Description: Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance
HCC (V28): HCC 135 — Drug Use with Psychotic Complications
RAF reference coefficient: 0.424
Billable: Yes
Payment year: 2026

HCC Category Mapping

V28HCC 135, Drug Use with Psychotic Complications

0.424

ESRDHCC 54, Substance Use with Psychotic Complications

Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work F13.132 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT Criteria for F13.132

For F13.132 to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.

MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
EEvaluate: test results, medication response, or physical findings reviewed by the provider
AAssess: explicit mention in the assessment or plan with acknowledgment of status
TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed F13.132 during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

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What This Code Means

F13.132 is the ICD-10-CM diagnosis code for sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance. 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. F13.132 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental and behavioral disorders due to psychoactive substance use (f10-f19).

Under the CMS-HCC V28 risk adjustment model, F13.132 maps to Drug Use with Psychotic Complications (HCC 135) with a source-labeled community, non-dual, aged reference coefficient of 0.424. No V24 mapping is shown for F13.132; use the applicable model and payment year when reviewing the V28 mapping. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Perceptual disturbance indicates hallucinations or delusions without the confusion of delirium. Because F13.132 maps to an HCC category, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) before the diagnosis is used for risk adjustment. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F13.132 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

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