F13.151
BillableSedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations
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 seeing or hearing things that aren't real (hallucinations).
Coding Tips
- •Specify the type of hallucinations (auditory, visual, tactile) in documentation when available
- •This code reflects substance-induced hallucinations rather than primary psychotic disorder
Clinical Significance
Sedative-induced hallucinations during abuse represent an acute psychiatric emergency where the patient is perceiving things that are not real, directly caused by substance misuse. This condition requires differentiation from primary psychotic disorders and carries implications for patient safety and treatment planning. The higher HCC mapping to Drug/Alcohol Psychosis reflects the clinical severity of this presentation.
Documentation Requirements
- ✓Identification of the specific sedative, hypnotic, or anxiolytic substance being abused
- ✓Type of hallucinations documented (auditory, visual, tactile, olfactory)
- ✓Temporal relationship between substance use and onset of hallucinations
- ✓Clinical distinction from primary psychotic disorders documented in assessment
- ✓Pattern of use meeting abuse criteria (not dependence)
- ✓Mental status examination documenting hallucination findings
Commonly Confused Codes
F13.150 — Sedative abuse with delusions rather than hallucinations; delusions are false beliefs, not false perceptionsF13.159 — Unspecified psychotic disorder from sedative abuse; use only when hallucinations vs delusions cannot be determinedF13.251 — Sedative DEPENDENCE with hallucinations; requires dependence criteria rather than abuseF13.232 — Sedative dependence withdrawal with perceptual disturbance; occurs during withdrawal, not active intoxicationF10.151 — Alcohol abuse with psychotic disorder with hallucinations; 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└F13.151Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations
└F13.151Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations