F13.180
BillableSedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced anxiety 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 or worsens anxiety symptoms.
Coding Tips
- •Document whether anxiety is a new symptom or worsening of pre-existing anxiety
- •This code indicates substance-induced anxiety, distinguishing it from primary anxiety disorders
Clinical Significance
Sedative-induced anxiety disorder in the context of abuse represents a paradoxical complication where anti-anxiety medications actually cause or worsen anxiety. This is clinically significant because it indicates the substance use is producing the very symptom it is often prescribed to treat. The induced disorder adds complexity to treatment planning and reflects a pattern of problematic substance use requiring intervention.
Documentation Requirements
- ✓Specific sedative, hypnotic, or anxiolytic substance identified
- ✓Documentation that anxiety is substance-induced rather than a pre-existing anxiety disorder
- ✓Temporal relationship between substance use and anxiety symptom onset
- ✓Pattern of use meeting criteria for abuse (not dependence)
- ✓Description of anxiety symptoms (panic attacks, generalized anxiety, phobic features)
- ✓Assessment distinguishing between rebound anxiety and substance-induced anxiety disorder
Commonly Confused Codes
F13.280 — Sedative DEPENDENCE with induced anxiety disorder; requires dependence rather than abuseF13.980 — Unspecified sedative use with induced anxiety; use when abuse vs dependence is unclearF41.1 — Generalized anxiety disorder; this is a primary anxiety disorder, not substance-inducedF13.10 — Uncomplicated sedative abuse; does not capture the anxiety complicationF13.130 — Sedative abuse with withdrawal uncomplicated; withdrawal anxiety differs from induced anxiety disorder
Code Hierarchy
└F13Sedative, hypnotic, or anxiolytic related disorders└F13.1Sedative, hypnotic or anxiolytic-related abuse└F13.18Sedative, hypnotic or anxiolytic abuse with other sedative, hypnotic or anxiolytic-induced disorders└F13.180Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced anxiety disorder
└F13.180Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced anxiety disorder