F13.220 — Sedative, hypnotic or anxiolytic dependence with intoxication, uncomplicated
F13.220 is a billable, specific ICD-10-CM code for sedative, hypnotic or anxiolytic dependence with intoxication, uncomplicated. It is valid for submission on a claim.
Excludes1 inherited from the categories above F13.220
These are not written on F13.220, but they bind it: a note on a category applies to every code beneath it. Billing F13.220 with anything listed here is a denial.
Excludes2 inherited from the categories above F13.220
Also inherited, and the opposite of Excludes1: these conditions are not part of F13.220, but a patient can have both, so you may code both.
Risk adjustment
F13.220 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 137 Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications0.424 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
F13.220 is named in 18 Medicare coverage policies — 15 listing it as supporting medical necessity, and 3 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56562Billing and Coding: Health and Behavior Assessment/Interventionnot covered
- A59718Billing and Coding: Opioid Treatment Programsnot covered
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
How F13.220 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F13.220.
- Dependence›drug NEC›sedative, hypnotic or anxiolytic›with›intoxication›uncomplicated
Code history
F13.220 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share F13.22. If F13.220 is not quite right, the correct code is usually one of these.
Questions about F13.220
- Is F13.220 a billable ICD-10-CM code?
- Yes. F13.220 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F13.220 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 F13.220?
- F13.220 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 F13.220 (F13.22, F13.2) and apply to it just the same.