F13.251
BillableSedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations
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 is dependent on sedatives, sleeping pills, or anti-anxiety medications and is experiencing psychotic symptoms including false perceptions (hallucinations) caused by these drugs.
Coding Tips
- •Document the specific type of hallucinations (auditory, visual, tactile) when possible to support medical necessity
- •Distinguish between hallucinations caused by substance use versus those from a primary psychotic disorder
Clinical Significance
Sedative dependence with induced hallucinations is a severe psychiatric complication where the patient perceives sensory experiences that are not real, directly caused by their sedative dependence. This condition indicates significant neurotoxicity from chronic sedative use and requires differentiation from primary psychotic disorders. The hallucination type (visual, auditory, tactile) can guide treatment.
Documentation Requirements
- ✓Documentation of sedative, hypnotic, or anxiolytic dependence
- ✓Type of hallucinations (visual, auditory, tactile, olfactory) clearly documented
- ✓Clinical evidence establishing substance-induced origin vs primary psychotic disorder
- ✓Mental status examination with specific hallucination findings
- ✓Timeline of substance use and onset of hallucinatory symptoms
- ✓Safety assessment including risk of harm to self or others
Commonly Confused Codes
F13.250 — Dependence with psychotic disorder with delusions; different psychotic symptom typeF13.259 — Dependence with psychotic disorder unspecified; use when symptom type cannot be determinedF13.232 — Dependence with withdrawal perceptual disturbance; occurs during withdrawal contextF13.151 — Sedative ABUSE with hallucinations; less severe use patternF20.0 — Paranoid schizophrenia; primary psychotic disorder with hallucinations, not substance-induced
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└F13.251Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations
└F13.251Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations