F13.288 — Sedative, hypnotic or anxiolytic dependence with other sedative, hypnotic or anxiolytic-induced disorder
F13.288 is a billable, specific ICD-10-CM code for sedative, hypnotic or anxiolytic dependence with other sedative, hypnotic or anxiolytic-induced disorder. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Sedative, hypnotic, or anxiolytic use disorder, moderate, with sedative, hypnotic, or anxiolytic-induced mild neurocognitive disorder
- Sedative, hypnotic, or anxiolytic use disorder, severe, with sedative, hypnotic, or anxiolytic-induced mild neurocognitive disorder
Risk adjustment
F13.288 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
F13.288 is named in 21 Medicare coverage policies — 19 listing it as supporting medical necessity, and 2 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
- A59718Billing and Coding: Opioid Treatment Programsnot covered
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
How F13.288 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 F13.288.
- Dependence›drug NEC›sedative, hypnotic or anxiolytic›with›other specified disorder
- Disorder›sedative, hypnotic, or anxiolytic use›moderate or severe›with›sedative, hypnotic, or anxiolytic-induced›mild neurocognitive disorder
Related codes at this level
Codes that share F13.28. If F13.288 is not quite right, the correct code is usually one of these.
- F13.280Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced anxiety disorder
- F13.281Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sexual dysfunction
- F13.282Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sleep disorder
Questions about F13.288
- Is F13.288 a billable ICD-10-CM code?
- Yes. F13.288 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F13.288 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).