F13.90 ICD-10-CM Code: Sedative, hypnotic, or anxiolytic use, unspecified, uncomplicated

F13.90 is the ICD-10-CM diagnosis code for sedative, hypnotic, or anxiolytic use, unspecified, uncomplicated. This code describes a patient's use of sedative, hypnotic, or anti-anxiety medications without any documented complications or specific pattern of use. It is used when the exact nature and severity of the substance use disorder cannot be determined from the medical record. F13.90 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental and behavioral disorders due to psychoactive substance use (f10-f19).

F13.90 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Use this code only when documentation does not specify the pattern of use (e.g., continuous, episodic, in remission) or when complications are absent; if more specific information is available, select a more detailed code from the F13 category.