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2025 ICD-10-CM code F13.20

Uncomplicated sedative, hypnotic, or anxiolytic dependence.

Use this code when the patient has a dependence on a sedative, hypnotic, or anxiolytic without any associated complications. If complications such as delirium or a mood disorder are present, use the appropriate combination code.

Medical necessity is established by the presence of a clinically significant impairment or distress related to the dependence. This may manifest as difficulty functioning in daily life, adverse health effects from the substance use, or risk of harm from withdrawal symptoms.

The provider diagnoses this condition based on the patient’s history, signs and symptoms, a detailed inquiry into the individual’s personal and social behavior, and a physical examination. Treatment often includes counseling, behavioral therapy, support groups, and careful monitoring of symptoms.In the elderly, this dependence can increase the risk of falls and confusion.

In simple words: This means you can't stop taking sleeping pills or tranquilizers because your body has gotten used to them. You'll feel sick if you try to quit suddenly, but you don't have any other serious problems like hallucinations or severe mood swings.

This condition refers to a dependence on sedative, hypnotic, or anxiolytic drugs, commonly known as tranquilizers or sleeping pills, without any accompanying complications like delirium, psychosis, or mood disturbances.The dependence is characterized by withdrawal symptoms when the drug is stopped or dosage reduced, demonstrating the body's physical adaptation to the substance.

Example 1: A patient presents with anxiety and insomnia. They admit to long-term use of prescribed sleeping pills and experience tremors and increased heart rate when they try to stop. They exhibit no signs of delirium, psychosis, or mood disturbance. This scenario is consistent with F13.20., A patient is brought to the ER after experiencing a seizure. They have a history of anxiety and have been taking benzodiazepines for years. Upon examination, they are found to be experiencing withdrawal symptoms, but there are no other complications.F13.20 is appropriate in this case., An elderly patient displays increasing confusion and has experienced multiple falls recently.A review of their medications reveals long-term use of a sedative.Upon attempting to reduce the dosage, they exhibit withdrawal symptoms.The diagnosis of F13.20 accurately reflects this clinical picture.

Documentation should include: type of sedative, hypnotic, or anxiolytic used; evidence of dependence (e.g., withdrawal symptoms, increased tolerance); absence of complications (psychosis, mood disturbance, delirium); current severity of dependence; and patient's remission status.

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