F13.181
BillableSedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sexual dysfunction
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 sexual dysfunction or problems with sexual performance.
Coding Tips
- •Document the specific type of sexual dysfunction (erectile, orgasmic, desire, etc.) when available
- •This is a substance-induced sexual dysfunction directly related to the medication misuse
Clinical Significance
Sexual dysfunction induced by sedative abuse reflects a significant quality-of-life complication that may also indicate escalating substance misuse patterns. Documentation of this complication is important for comprehensive patient care and treatment planning, as it represents a direct physiological consequence of the substance abuse. The induced disorder status elevates the risk profile compared to uncomplicated abuse.
Documentation Requirements
- ✓Identification of the specific sedative, hypnotic, or anxiolytic substance
- ✓Type of sexual dysfunction documented (erectile dysfunction, decreased libido, anorgasmia, delayed ejaculation)
- ✓Provider documentation attributing the sexual dysfunction to the substance use
- ✓Pattern of substance use meeting abuse criteria
- ✓Ruling out other causes of sexual dysfunction (medical conditions, other medications)
- ✓Temporal relationship between substance use and onset of sexual dysfunction
Commonly Confused Codes
F13.281 — Sedative DEPENDENCE with induced sexual dysfunction; requires documented dependenceF13.981 — Unspecified sedative use with induced sexual dysfunction; use when abuse vs dependence is unclearN52.9 — Male erectile dysfunction, unspecified; this does not capture the substance-induced etiologyF52.0 — Hypoactive sexual desire disorder; primary disorder, not substance-inducedF13.10 — Uncomplicated sedative abuse; does not capture the sexual dysfunction complication
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└F13.181Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sexual dysfunction
└F13.181Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sexual dysfunction