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F13.92 ICD-10-CM Code: Sedative, hypnotic or anxiolytic use, unspecified with intoxication

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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)

F13.92

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Sedative, hypnotic or anxiolytic use, unspecified with intoxication

Sedative, hypnotic or anxiolytic use, unspecified with intoxication

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
F13Sedative, hypnotic, or anxiolytic related disorders
F13.9Sedative, hypnotic or anxiolytic-related use, unspecified
F13.92Sedative, hypnotic or anxiolytic use, unspecified with intoxication

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F13.92 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for F13.92 in this effective period.

Related Child Codes

Official
F13.920Sedative, hypnotic or anxiolytic use, unspecified with intoxication, uncomplicated
F13.921Sedative, hypnotic or anxiolytic use, unspecified with intoxication delirium
F13.929Sedative, hypnotic or anxiolytic use, unspecified with intoxication, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for F13.92 in this effective period.

Excludes 1

Official
  • sedative, hypnotic or anxiolytic use, unspecified with withdrawal (F13.93-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F13.92 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F13.92 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F13.92 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

F13.92 is the ICD-10-CM diagnosis code for sedative, hypnotic or anxiolytic use, unspecified with intoxication. F13.92 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).

Header codes like F13.92 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at F13.92's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F13.92 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • sedative, hypnotic or anxiolytic use, unspecified with withdrawal (F13.93-)

Child Codes

Code Hierarchy

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