F13.19

Billable

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

HCC Category Mapping

V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe

0.358

V24HCC 55 — Drug/Alcohol Dependence

0.334

ESRDHCC 55 — Drug/Alcohol Dependence

0.000

What This Code Means

Misuse of sedatives, sleeping pills, or anti-anxiety medications with mental health problems caused by the substance, but the specific problem is not identified.

Coding Tips

•This is the least specific code in the F13 abuse category; use only when no other F13.1x code applies
•Query provider to identify the specific substance-induced disorder for more accurate coding

Clinical Significance

This unspecified induced disorder code represents the least specific coding option for sedative abuse with complications. It indicates the provider documented that a substance-induced disorder is present but did not specify the type. This is a clinical documentation improvement opportunity, as more specific coding would better capture the patient's condition and support clinical data quality initiatives.

Documentation Requirements

✓Documentation of sedative, hypnotic, or anxiolytic abuse pattern
✓Evidence that a substance-induced disorder exists but type cannot be determined
✓Provider acknowledgment of a complication from substance use
✓Substance use pattern meeting abuse criteria (not dependence)
✓Notation explaining why the specific induced disorder could not be identified

Commonly Confused Codes

F13.10 — Uncomplicated sedative abuse; use when no induced disorder is present at all F13.188 — Other specified induced disorder; use when the disorder is known but does not fit standard categories F13.180 — Induced anxiety disorder; use if anxiety symptoms are documented F13.29 — Unspecified induced disorder from sedative DEPENDENCE; requires dependence criteria F13.99 — Unspecified sedative use with unspecified induced disorder; use when even abuse vs dependence is unknown

Code Hierarchy

└F13Sedative, hypnotic, or anxiolytic related disorders └F13.1Sedative, hypnotic or anxiolytic-related abuse └F13.19Sedative, hypnotic or anxiolytic abuse with unspecified sedative, hypnotic or anxiolytic-induced disorder

└F13.19Sedative, hypnotic or anxiolytic abuse with unspecified sedative, hypnotic or anxiolytic-induced disorder