F13.159

Billable

Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified

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

Misuse of sedatives, sleeping pills, or anti-anxiety medications that causes psychotic symptoms, but the specific type of psychotic symptom is not specified.

Coding Tips

•Use this code only when psychosis is documented but type (delusions vs. hallucinations) cannot be determined
•Query provider for more specific psychotic symptoms to allow use of F13.150 or F13.151

Clinical Significance

This unspecified psychotic disorder code indicates the patient is experiencing substance-induced psychosis from sedative abuse, but the specific symptom type is not documented. While it still captures the severity of psychotic complication, using this code represents an opportunity for documentation improvement. Clinical querying could yield more specific coding with F13.150 or F13.151.

Documentation Requirements

✓Documentation of sedative, hypnotic, or anxiolytic abuse pattern
✓Evidence of psychotic symptoms caused by the substance (even if type is not specified)
✓Temporal link between substance use and psychotic episode
✓Clinical assessment ruling out primary psychotic disorders
✓Note indicating the specific type of psychosis could not be determined from available documentation

Commonly Confused Codes

F13.150 — Use when delusions are specifically documented F13.151 — Use when hallucinations are specifically documented F13.19 — Abuse with unspecified induced disorder; this is broader than psychosis-specific F13.159 F13.259 — Sedative DEPENDENCE with unspecified psychotic disorder; requires dependence rather than abuse F13.959 — Unspecified use with psychotic disorder; use when abuse vs dependence is not documented

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 └F13.159Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified

└F13.159Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified