Is F13.15 a billable ICD-10-CM code?

No. F13.15 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does F13.15 sit in the tabular list?

Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental and behavioral disorders due to psychoactive substance use (F10-F19).

What cannot be coded together with F13.15?

F13.15 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above F13.15 (F13.1) and apply to it just the same.

F13.15

F13.15 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder

Non-billable headerICD-10-CM

F13.15 is a non-billable header ICD-10-CM code for sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above F13.15

These are not written on F13.15, but they bind it: a note on a category applies to every code beneath it. Billing F13.15 with anything listed here is a denial.

Written on F13.1 — Sedative, hypnotic or anxiolytic-related abuse

sedative, hypnotic or anxiolytic-related dependence (F13.2-)
sedative, hypnotic, or anxiolytic use, unspecified (F13.9-)

Risk adjustment

F13.15 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code history

F13.15 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead F13.15

3 child codes. Green means billable.

Related codes at this level

Codes that share F13.1. If F13.15 is not quite right, the correct code is usually one of these.

Questions about F13.15

Is F13.15 a billable ICD-10-CM code?: No. F13.15 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does F13.15 sit in the tabular list?: Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental and behavioral disorders due to psychoactive substance use (F10-F19).
What cannot be coded together with F13.15?: F13.15 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above F13.15 (F13.1) and apply to it just the same.