F13.230

Billable

Sedative, hypnotic or anxiolytic dependence with withdrawal, uncomplicated

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

A person dependent on sedative, hypnotic, or anti-anxiety medications is experiencing withdrawal symptoms without severe complications like delirium or hallucinations.

Coding Tips

•Document specific withdrawal symptoms such as tremors, anxiety, insomnia, or sweating
•Distinguish from codes F13.231 and F13.232 which indicate more severe withdrawal complications

Clinical Significance

Sedative dependence with uncomplicated withdrawal is a clinically significant and potentially dangerous condition. Sedative/hypnotic withdrawal, particularly from benzodiazepines and barbiturates, can progress to seizures and death if not properly managed. Even uncomplicated withdrawal requires medical monitoring. This code indicates active withdrawal without delirium or perceptual disturbances, but the condition still demands clinical vigilance.

Documentation Requirements

✓Documentation of sedative, hypnotic, or anxiolytic dependence
✓Description of withdrawal symptoms (tremor, anxiety, insomnia, diaphoresis, tachycardia, nausea)
✓CIWA-B or other withdrawal severity assessment scores if available
✓Confirmation that delirium and perceptual disturbances are NOT present
✓Timeline of last substance use and onset of withdrawal symptoms
✓Taper protocol or withdrawal management plan documentation

Commonly Confused Codes

F13.231 — Dependence with withdrawal delirium; more severe with confusion and disorientation F13.232 — Dependence with withdrawal with perceptual disturbance; includes hallucinations without delirium F13.239 — Dependence with withdrawal unspecified; use when complication level cannot be determined F13.220 — Dependence with intoxication; intoxication is the opposite clinical state from withdrawal F13.930 — Unspecified use with withdrawal uncomplicated; use when dependence status is unclear

Code Hierarchy

└F13Sedative, hypnotic, or anxiolytic related disorders └F13.2Sedative, hypnotic or anxiolytic-related dependence └F13.23Sedative, hypnotic or anxiolytic dependence with withdrawal └F13.230Sedative, hypnotic or anxiolytic dependence with withdrawal, uncomplicated

└F13.230Sedative, hypnotic or anxiolytic dependence with withdrawal, uncomplicated