F13.282
BillableSedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sleep disorder
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 is dependent on sedatives, sleeping pills, or anti-anxiety medications and is experiencing sleep disturbances caused by these drugs.
Coding Tips
- •Document whether the sleep disorder is insomnia, hypersomnia, or other sleep-related condition
- •Note if this is a rebound effect after reducing or stopping the medication
Clinical Significance
Sleep disorder induced by sedative dependence is a paradoxical but clinically important complication. Chronic use of sedative-hypnotics disrupts normal sleep architecture, leading to rebound insomnia, reduced deep sleep, and fragmented sleep patterns. This is particularly significant because patients often escalate their sedative use in response to worsening sleep, creating a vicious cycle that perpetuates dependence.
Documentation Requirements
- ✓Documentation of sedative, hypnotic, or anxiolytic dependence
- ✓Specific sleep disturbance type (insomnia, hypersomnia, parasomnia, circadian disruption)
- ✓Provider documentation attributing sleep disorder to the sedative use
- ✓Differentiation from rebound insomnia during withdrawal versus ongoing substance-induced sleep disorder
- ✓Sleep assessment or study results if available
- ✓Impact on daytime functioning and overall health
Commonly Confused Codes
F13.182 — Sedative ABUSE with induced sleep disorder; less severe use patternF13.982 — Unspecified sedative use with induced sleep disorder; use when dependence is not confirmedG47.00 — Insomnia, unspecified; primary sleep disorder, not substance-inducedG47.10 — Hypersomnolence, unspecified; primary sleep disorderF13.230 — Dependence with withdrawal uncomplicated; withdrawal-related sleep issues differ clinically
Code Hierarchy
└F13Sedative, hypnotic, or anxiolytic related disorders└F13.2Sedative, hypnotic or anxiolytic-related dependence└F13.28Sedative, hypnotic or anxiolytic dependence with other sedative, hypnotic or anxiolytic-induced disorders└F13.282Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sleep disorder
└F13.282Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sleep disorder