F13.250

Billable

Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions

HCC Category Mapping

V28HCC 135 — Drug/Alcohol Psychosis

0.000

V24HCC 54 — Drug/Alcohol Psychosis

0.434

ESRDHCC 54 — Drug/Alcohol Psychosis

0.000

What This Code Means

A person is dependent on sedatives, sleeping pills, or anti-anxiety medications and is experiencing psychotic symptoms including false beliefs (delusions) caused by these drugs.

Coding Tips

•This code requires documentation of both the substance dependence AND the specific psychotic symptom (delusions) to differentiate from F13.251 or F13.259
•Verify in the medical record that delusions are substance-induced rather than a primary psychotic disorder

Clinical Significance

Sedative dependence with induced psychotic disorder featuring delusions is a severe psychiatric complication indicating the substance use has caused fixed false beliefs in a dependent patient. This represents a higher severity than simple dependence and maps to the Drug/Alcohol Psychosis HCC. The combination of dependence and psychotic symptoms requires intensive psychiatric intervention and carries significant morbidity.

Documentation Requirements

✓Documentation of sedative, hypnotic, or anxiolytic dependence
✓Detailed description of delusions (content, type, persistence)
✓Clinical evidence that delusions are substance-induced rather than primary psychotic disorder
✓Mental status examination documenting the psychotic symptoms
✓Timeline establishing temporal relationship between substance use and delusional onset
✓Treatment plan addressing both dependence and psychotic symptoms

Commonly Confused Codes

F13.251 — Dependence with induced psychotic disorder with hallucinations; different psychotic symptom type F13.259 — Dependence with induced psychotic disorder unspecified; use when type cannot be determined F13.150 — Sedative ABUSE with psychotic disorder with delusions; less severe use pattern F22 — Delusional disorders; primary psychotic disorder, not substance-induced F13.231 — Dependence with withdrawal delirium; delirium during withdrawal, not psychotic disorder during use

Code Hierarchy

└F13Sedative, hypnotic, or anxiolytic related disorders └F13.2Sedative, hypnotic or anxiolytic-related dependence └F13.25Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder └F13.250Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions

└F13.250Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions