F13.229
BillableSedative, hypnotic or anxiolytic dependence with intoxication, unspecified
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
A person dependent on sedative, hypnotic, or anti-anxiety medications is experiencing intoxication, but the specific details or severity of the intoxication are not documented.
Coding Tips
- •Use this code only when intoxication is present but cannot be classified as uncomplicated or with delirium
- •Request clarification from the provider about the nature and severity of intoxication symptoms
Clinical Significance
This code indicates sedative dependence with intoxication where the severity or complications of the intoxication are not specified. It represents a documentation gap where the provider has identified both dependence and intoxication but has not clarified whether delirium or other complications are present. This is an opportunity for clinical documentation improvement.
Documentation Requirements
- ✓Documentation of sedative, hypnotic, or anxiolytic dependence
- ✓Evidence of current intoxication from the substance
- ✓Clinical note explaining why the intoxication severity could not be specified
- ✓Vital signs and basic assessment during the intoxication episode
- ✓Substance type and any available details about the intoxication presentation
Commonly Confused Codes
F13.220 — Dependence with intoxication uncomplicated; use when documentation confirms no deliriumF13.221 — Dependence with intoxication delirium; use when delirium is documentedF13.929 — Unspecified sedative use with intoxication unspecified; use when dependence is not confirmedF13.20 — Uncomplicated dependence; use when no current intoxication is presentF13.129 — Sedative ABUSE with intoxication unspecified; requires abuse rather than dependence
Code Hierarchy
└F13Sedative, hypnotic, or anxiolytic related disorders└F13.2Sedative, hypnotic or anxiolytic-related dependence└F13.22Sedative, hypnotic or anxiolytic dependence with intoxication└F13.229Sedative, hypnotic or anxiolytic dependence with intoxication, unspecified
└F13.229Sedative, hypnotic or anxiolytic dependence with intoxication, unspecified