F13.91 ICD-10-CM Code: Sedative, hypnotic or anxiolytic use, unspecified, in remission

F13.91 is the ICD-10-CM diagnosis code for sedative, hypnotic or anxiolytic use, unspecified, in remission. This code describes a patient who has a history of sedative, hypnotic, or anxiolytic substance use disorder but is currently in remission, meaning they are not actively using these substances. The specific pattern or severity of their past use is not documented. F13.91 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).

F13.91 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 the patient is confirmed to be in remission from substance use; if active use is occurring, select a different F13 code indicating current use.