F13.981

Billable

Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sexual dysfunction

HCC Category Mapping

V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe

0.358

V24HCC 55 — Drug/Alcohol Dependence

0.334

ESRDHCC 55 — Drug/Alcohol Dependence

0.000

What This Code Means

This code describes sexual dysfunction that is caused by the use of sedative, hypnotic, or anti-anxiety medications, when the specific pattern of drug use is not clearly documented. Sexual dysfunction can include problems with desire, arousal, or performance related to these medications.

Coding Tips

•Verify documentation clearly links the sexual dysfunction to sedative, hypnotic, or anxiolytic medication use; if the specific pattern of use (abuse, dependence, or use disorder) is documented, select the more specific F13.9x1 code instead
•This code requires documentation of both the medication-induced sexual dysfunction AND the use of sedatives/hypnotics/anxiolytics; ensure both conditions are present in the medical record before coding

Clinical Significance

Sexual dysfunction induced by unspecified sedative use reflects a quality-of-life complication from sedative medication use. The unspecified use pattern indicates the provider documented the sexual dysfunction as substance-related without classifying the use severity. This is important for comprehensive documentation and may influence shared decision-making about continued sedative use.

Documentation Requirements

✓Documentation of sedative, hypnotic, or anxiolytic use
✓Specific type of sexual dysfunction (erectile dysfunction, decreased libido, anorgasmia)
✓Provider attribution linking sexual dysfunction to the substance use
✓Ruling out other causes of sexual dysfunction
✓Temporal relationship between substance use and sexual dysfunction onset
✓Impact assessment on quality of life

Commonly Confused Codes

F13.181 — Sedative ABUSE with induced sexual dysfunction; when abuse is confirmed F13.281 — Sedative DEPENDENCE with induced sexual dysfunction; when dependence is confirmed N52.9 — Male erectile dysfunction, unspecified; does not capture substance etiology F52.0 — Hypoactive sexual desire disorder; primary disorder, not substance-induced F13.982 — Unspecified use with induced sleep disorder; different type of induced complication

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 └F13.981Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sexual dysfunction

└F13.981Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sexual dysfunction