F13.96
BillableSedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced persisting amnestic disorder
HCC Category Mapping
V28HCC 135 — Drug/Alcohol Psychosis
0.000V24HCC 54 — Drug/Alcohol Psychosis
0.434ESRDHCC 54 — Drug/Alcohol Psychosis
0.000What This Code Means
A person has developed persistent memory loss and cognitive impairment from long-term sedative, hypnotic, or anti-anxiety medication use.
Coding Tips
- •This represents a chronic condition; document the duration of substance use and cognitive testing results if available
- •Distinguish from acute intoxication-related memory impairment by noting the persistent nature of the amnestic disorder
Clinical Significance
Persisting amnestic disorder from unspecified sedative use indicates permanent memory impairment caused by chronic sedative exposure. The 'persisting' qualifier is critical — it means the memory loss continues even after substance use stops, reflecting actual brain damage. This is a serious cognitive complication that significantly impacts functional independence and quality of life.
Documentation Requirements
- ✓Documentation of sedative, hypnotic, or anxiolytic use
- ✓Neuropsychological testing or cognitive assessment showing memory impairment
- ✓Evidence the amnestic disorder persists beyond acute substance effects
- ✓Type of memory impaired (anterograde, retrograde, short-term, long-term)
- ✓Temporal relationship between substance use and memory impairment onset
- ✓Functional assessment documenting daily living impact
Commonly Confused Codes
F13.97 — Unspecified use with persisting dementia; broader cognitive decline, not isolated memoryF13.26 — DEPENDENCE with persisting amnestic disorder; when dependence is confirmedR41.3 — Other amnesia; does not capture substance-induced etiologyF04 — Amnestic disorder due to physiological condition; different etiologyF13.99 — Unspecified induced disorder; less specific, does not capture the amnestic nature