F13.929
BillableSedative, hypnotic or anxiolytic use, unspecified with intoxication, unspecified
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 intoxicated from sedative, hypnotic, or anti-anxiety medications, but the specific substance and severity of intoxication are not documented.
Coding Tips
- •Query the provider to determine the specific substance (benzodiazepine, barbiturate, etc.) and severity level if possible for more specific coding
- •This code indicates unspecified use disorder status; clarify if patient has diagnosed substance use disorder or if this is acute intoxication only
Clinical Significance
This doubly unspecified code indicates sedative intoxication where both the use pattern and intoxication severity are not documented. This is typically seen in emergency presentations with minimal clinical history. While it still captures a significant HCC, this code represents the greatest documentation improvement opportunity in the intoxication category.
Documentation Requirements
- ✓Evidence of intoxication from sedative, hypnotic, or anxiolytic substance
- ✓Any available clinical details about the intoxication presentation
- ✓Attempt to identify the specific substance documented
- ✓Basic clinical assessment and vital signs during the episode
- ✓Notation regarding inability to determine use pattern or intoxication severity
Commonly Confused Codes
F13.920 — Unspecified use with intoxication uncomplicated; use when confirmed no deliriumF13.921 — Unspecified use with intoxication delirium; use when delirium is documentedF13.120 — ABUSE with intoxication uncomplicated; when abuse is documentedF13.220 — DEPENDENCE with intoxication uncomplicated; when dependence is documentedT42.4X1A — Poisoning by benzodiazepines; accidental poisoning, different clinical scenario
Code Hierarchy
└F13Sedative, hypnotic, or anxiolytic related disorders└F13.9Sedative, hypnotic or anxiolytic-related use, unspecified└F13.92Sedative, hypnotic or anxiolytic use, unspecified with intoxication└F13.929Sedative, hypnotic or anxiolytic use, unspecified with intoxication, unspecified
└F13.929Sedative, hypnotic or anxiolytic use, unspecified with intoxication, unspecified