F13.232
BillableSedative, hypnotic or anxiolytic dependence with withdrawal with perceptual disturbance
HCC Category Mapping
V28HCC 135 — Drug/Alcohol Psychosis
0.000V24HCC 54 — Drug/Alcohol Psychosis
0.434ESRDHCC 54 — Drug/Alcohol Psychosis
0.000What This Code Means
A person dependent on sedative, hypnotic, or anti-anxiety medications is experiencing withdrawal with perceptual disturbances such as hallucinations or illusions, but without full delirium.
Coding Tips
- •Document the specific perceptual disturbances (visual, auditory, tactile hallucinations)
- •Distinguish from F13.231 which includes delirium as a more severe complication
Clinical Significance
Withdrawal with perceptual disturbance represents a severe complication of sedative withdrawal where the patient experiences hallucinations or illusions while maintaining orientation, unlike full delirium. This is a warning sign of potential progression to delirium and requires close monitoring. The perceptual disturbances typically include visual or tactile hallucinations and indicate significant central nervous system irritability during withdrawal.
Documentation Requirements
- ✓Documentation of sedative, hypnotic, or anxiolytic dependence
- ✓Description of specific perceptual disturbances (visual, auditory, tactile hallucinations or illusions)
- ✓Clinical confirmation that full delirium criteria are NOT met (patient maintains basic orientation)
- ✓Timeline of substance cessation and onset of perceptual symptoms
- ✓Withdrawal severity scoring (CIWA-B or equivalent)
- ✓Monitoring plan and interventions for potential progression to delirium
Commonly Confused Codes
F13.231 — Withdrawal delirium; full delirium with disorientation, more severe than perceptual disturbance aloneF13.230 — Withdrawal uncomplicated; no perceptual disturbances presentF13.251 — Dependence with induced psychotic disorder with hallucinations; occurs during active use, not withdrawalF13.239 — Withdrawal unspecified; use when presence of complications cannot be determinedF13.932 — Unspecified use with withdrawal with perceptual disturbance; use when dependence is not confirmed
Code Hierarchy
└F13Sedative, hypnotic, or anxiolytic related disorders└F13.2Sedative, hypnotic or anxiolytic-related dependence└F13.23Sedative, hypnotic or anxiolytic dependence with withdrawal└F13.232Sedative, hypnotic or anxiolytic dependence with withdrawal with perceptual disturbance
└F13.232Sedative, hypnotic or anxiolytic dependence with withdrawal with perceptual disturbance