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F13.220

Billable

Sedative, hypnotic or anxiolytic dependence with intoxication, uncomplicated

HCC Category Mapping

V28HCC 137Drug Use Disorder/Substance Use Disorder, Moderate/Severe
0.358
V24HCC 55Drug/Alcohol Dependence
0.334
ESRDHCC 55Drug/Alcohol Dependence
0.000

What This Code Means

A person dependent on sedative, hypnotic, or anti-anxiety medications is currently intoxicated from these drugs without severe complications like delirium.

Coding Tips

  • Document the level of intoxication and any behavioral or physical manifestations observed
  • Distinguish from F13.221 which includes delirium as a complication

Clinical Significance

Sedative dependence with uncomplicated intoxication represents an acute clinical scenario where a dependent patient is currently under the influence of the substance without severe complications. This is clinically important as it confirms ongoing active use in a dependent patient, informing treatment urgency. Benzodiazepine intoxication can cause respiratory depression and requires monitoring.

Documentation Requirements

  • Provider documentation of sedative, hypnotic, or anxiolytic dependence
  • Description of current intoxication state and clinical findings
  • Vital signs and level of consciousness during intoxication
  • Confirmation that delirium or perceptual disturbances are NOT present (uncomplicated)
  • Specific substance involved and estimated quantity/route if known
  • Assessment of respiratory and cardiovascular status

Commonly Confused Codes

Code Hierarchy

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