F13.239
BillableSedative, hypnotic or anxiolytic dependence with withdrawal, 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 withdrawal, but the specific type or severity of withdrawal symptoms are not documented.
Coding Tips
- •Use this code only when withdrawal is documented but cannot be classified as uncomplicated, with delirium, or with perceptual disturbance
- •Request additional documentation from the provider about withdrawal symptom details
Clinical Significance
Unspecified withdrawal from sedative dependence indicates the provider documented withdrawal but did not specify the severity or complications. Given the potentially life-threatening nature of sedative/benzodiazepine withdrawal, this documentation gap is clinically concerning. Querying the provider for specificity is important both for patient safety and accurate risk adjustment coding.
Documentation Requirements
- ✓Documentation of sedative, hypnotic, or anxiolytic dependence
- ✓Evidence of withdrawal from the substance
- ✓Any available clinical details about the withdrawal presentation
- ✓Note indicating why the specific withdrawal type could not be determined
- ✓Vital signs and monitoring data from the withdrawal period
Commonly Confused Codes
F13.230 — Withdrawal uncomplicated; use when confirmed no delirium or perceptual disturbancesF13.231 — Withdrawal delirium; use when delirium criteria are metF13.232 — Withdrawal with perceptual disturbance; use when hallucinations are present without deliriumF13.939 — Unspecified use with withdrawal unspecified; use when dependence is not confirmedF13.20 — Uncomplicated dependence; does not capture the withdrawal episode
Code Hierarchy
└F13Sedative, hypnotic, or anxiolytic related disorders└F13.2Sedative, hypnotic or anxiolytic-related dependence└F13.23Sedative, hypnotic or anxiolytic dependence with withdrawal└F13.239Sedative, hypnotic or anxiolytic dependence with withdrawal, unspecified
└F13.239Sedative, hypnotic or anxiolytic dependence with withdrawal, unspecified