F13.99
BillableSedative, hypnotic or anxiolytic use, unspecified with unspecified sedative, hypnotic or anxiolytic-induced 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 some type of disorder related to these drugs, but the specific disorder is not identified.
Coding Tips
- •Use this code only when the induced disorder cannot be specified; if the specific disorder (anxiety, sleep, mood, etc.) is known, use the more specific code
- •Review clinical documentation to determine if a more specific F13.98x code would be more appropriate
Clinical Significance
This is the least specific code in the sedative use disorder category — both the use pattern and the induced disorder type are unspecified. It indicates a provider documented sedative use with some type of induced problem, but neither axis has been clarified. This represents the maximum documentation improvement opportunity and should trigger provider queries on both dimensions.
Documentation Requirements
- ✓Documentation of sedative, hypnotic, or anxiolytic use
- ✓Evidence that some type of substance-induced disorder exists
- ✓Clinical note acknowledging the complication
- ✓Notation explaining why neither the use pattern nor induced disorder could be specified
- ✓Assessment and plan addressing the condition
Commonly Confused Codes
F13.90 — Unspecified sedative use without induced disorder; no complication presentF13.988 — Unspecified use with other specified induced disorder; disorder is known but atypicalF13.94 — Unspecified use with induced mood disorder; when mood symptoms are identifiedF13.980 — Unspecified use with induced anxiety; when anxiety is identifiedF13.19 — Sedative ABUSE with unspecified induced disorder; when abuse is confirmed
Code Hierarchy
└F13Sedative, hypnotic, or anxiolytic related disorders└F13.9Sedative, hypnotic or anxiolytic-related use, unspecified└F13.99Sedative, hypnotic or anxiolytic use, unspecified with unspecified sedative, hypnotic or anxiolytic-induced disorder
└F13.99Sedative, hypnotic or anxiolytic use, unspecified with unspecified sedative, hypnotic or anxiolytic-induced disorder