F13.980
BillableSedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced anxiety disorder
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 uses sedative, hypnotic, or anti-anxiety medications without a diagnosed substance use disorder and develops anxiety as a result of using these drugs.
Coding Tips
- •This code indicates unspecified use pattern (not abuse or dependence) with a specific induced condition; verify documentation doesn't indicate abuse or dependence which would require different codes
- •Ensure the anxiety disorder is documented as directly induced by the sedative/hypnotic/anxiolytic use rather than a pre-existing condition
Clinical Significance
Unspecified sedative use with induced anxiety disorder indicates anxiety symptoms caused by sedative use where the use pattern has not been classified. This paradoxical complication is well-recognized with benzodiazepine use. The unspecified use status reflects incomplete documentation of the substance use pattern, which should be clarified when possible.
Documentation Requirements
- ✓Documentation of sedative, hypnotic, or anxiolytic use
- ✓Description of anxiety symptoms attributed to the substance
- ✓Temporal relationship between substance use and anxiety onset
- ✓Clinical distinction from pre-existing primary anxiety disorders
- ✓Differentiation from withdrawal anxiety
- ✓Assessment of anxiety severity
Commonly Confused Codes
F13.180 — Sedative ABUSE with induced anxiety; when abuse is confirmedF13.280 — Sedative DEPENDENCE with induced anxiety; when dependence is confirmedF41.1 — Generalized anxiety disorder; primary anxiety, not substance-inducedF13.930 — Unspecified use with withdrawal uncomplicated; withdrawal anxiety differs from induced anxietyF13.94 — Unspecified use with induced mood disorder; different type of induced condition
Code Hierarchy
└F13Sedative, hypnotic, or anxiolytic related disorders└F13.9Sedative, hypnotic or anxiolytic-related use, unspecified└F13.98Sedative, hypnotic or anxiolytic use, unspecified with other sedative, hypnotic or anxiolytic-induced disorders└F13.980Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced anxiety disorder
└F13.980Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced anxiety disorder