F13.27
BillableSedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting dementia
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 has developed progressive cognitive decline and dementia caused by these drugs.
Coding Tips
- •Ensure documentation distinguishes substance-induced dementia from primary neurodegenerative dementias
- •Note the timeline of cognitive decline in relation to substance use initiation
Clinical Significance
Sedative-induced persisting dementia is one of the most severe long-term consequences of sedative dependence, representing irreversible global cognitive decline caused by chronic substance use. Unlike the amnestic disorder, dementia involves multiple cognitive domains including memory, executive function, language, and visuospatial abilities. This diagnosis significantly impacts functional independence and care needs.
Documentation Requirements
- ✓Documentation of sedative, hypnotic, or anxiolytic dependence history
- ✓Neuropsychological testing showing decline in multiple cognitive domains
- ✓Evidence the dementia persists beyond substance cessation
- ✓Temporal relationship between chronic substance use and cognitive decline onset
- ✓Distinction from primary neurodegenerative dementias (Alzheimer disease, vascular dementia)
- ✓Functional assessment documenting impact on activities of daily living and instrumental activities
- ✓Brain imaging results if available (MRI/CT showing atrophy patterns)
Commonly Confused Codes
F13.26 — Dependence with persisting amnestic disorder; limited to memory impairment onlyF13.97 — Unspecified use with persisting dementia; use when dependence is not confirmedG30.9 — Alzheimer disease, unspecified; primary neurodegenerative dementiaF01.50 — Vascular dementia without behavioral disturbance; different etiologyF03.90 — Unspecified dementia without behavioral disturbance; does not capture substance etiology
Code Hierarchy
└F13Sedative, hypnotic, or anxiolytic related disorders└F13.2Sedative, hypnotic or anxiolytic-related dependence└F13.27Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting dementia
└F13.27Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting dementia