F13.14
BillableSedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced mood disorder
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
Misuse of sedatives, sleeping pills, or anti-anxiety medications that causes mood disorders such as depression or emotional instability.
Coding Tips
- •Document the specific mood disorder (depression, bipolar, etc.) in the clinical record for clarity
- •This code indicates the substance-induced nature of the mood disorder, not a primary mood disorder
Clinical Significance
Sedative, hypnotic, or anxiolytic abuse with substance-induced mood disorder captures the development of depression, mania, or mixed mood states caused by misuse of sedating medications. Sedative-induced mood disorders are common, particularly depression, and can complicate treatment because the mood symptoms may persist even after cessation of the abused substance. This diagnosis is important for comprehensive psychiatric care planning and risk adjustment.
Documentation Requirements
- ✓Documentation of sedative/hypnotic/anxiolytic abuse
- ✓Description of the specific mood disturbance (depression, mania, mixed features)
- ✓Clinical statement that mood disorder is induced by the sedative substance, not a primary mood disorder
- ✓Temporal relationship between substance use and mood symptoms
- ✓Assessment of suicide risk if depressive features are present
- ✓Exclusion of primary mood disorders (major depressive disorder, bipolar disorder)
Commonly Confused Codes
F32.x — Major depressive disorder, single episode; use for primary depression not substance-inducedF31.x — Bipolar disorder; use for primary bipolar disorder not substance-inducedF13.10 — Sedative abuse, uncomplicated; use when no mood disorder is presentF13.24 — Sedative dependence with sedative-induced mood disorder; use when dependence is documented
Code Hierarchy
└F13Sedative, hypnotic, or anxiolytic related disorders└F13.1Sedative, hypnotic or anxiolytic-related abuse└F13.14Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced mood disorder
└F13.14Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced mood disorder