F13.150
BillableSedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions
HCC Category Mapping
V28HCC 135 — Drug/Alcohol Psychosis
0.000V24HCC 54 — Drug/Alcohol Psychosis
0.434ESRDHCC 54 — Drug/Alcohol Psychosis
0.000What This Code Means
Misuse of sedatives, sleeping pills, or anti-anxiety medications that causes psychotic symptoms, specifically false beliefs (delusions).
Coding Tips
- •Document the content of delusions when possible to support medical necessity
- •Distinguish between substance-induced psychosis (this code) and primary psychotic disorders
Clinical Significance
Sedative-induced psychotic disorder with delusions in the context of abuse represents a serious psychiatric complication requiring immediate clinical attention. This diagnosis indicates the substance use has progressed beyond simple misuse to cause significant reality distortion. Accurate capture is critical for risk adjustment as it maps to a higher-severity psychosis HCC rather than simple substance abuse.
Documentation Requirements
- ✓Documentation of the specific sedative, hypnotic, or anxiolytic substance being abused
- ✓Description of the delusional content (persecutory, grandiose, jealous, etc.)
- ✓Temporal relationship establishing that delusions began during or shortly after substance use
- ✓Clinical assessment ruling out primary psychotic disorders (schizophrenia, schizoaffective disorder)
- ✓Current pattern of use meeting criteria for abuse (not dependence)
- ✓Mental status examination findings supporting psychotic symptoms
Commonly Confused Codes
F13.151 — Sedative abuse with hallucinations rather than delusions; the distinction is the type of psychotic symptomF13.159 — Unspecified psychotic disorder; use when the specific symptom type (delusions vs hallucinations) is not documentedF13.250 — Sedative DEPENDENCE with psychotic disorder with delusions; requires documented dependence rather than abuseF25.0 — Schizoaffective disorder, bipolar type; this is a primary psychotic disorder not substance-inducedF12.150 — Cannabis abuse with psychotic disorder with delusions; wrong substance category
Code Hierarchy
└F13Sedative, hypnotic, or anxiolytic related disorders└F13.1Sedative, hypnotic or anxiolytic-related abuse└F13.15Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder└F13.150Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions
└F13.150Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions