F13.91 — Sedative, hypnotic or anxiolytic use, unspecified, in remission
F13.91 is a billable, specific ICD-10-CM code for sedative, hypnotic or anxiolytic use, unspecified, in remission. It is valid for submission on a claim.
Risk adjustment
F13.91 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.
Medicare coverage
F13.91 is named in 11 Medicare coverage policies — 8 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 F13.91 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 F13.91.
- Use›sedative, hypnotic, or anxiolytic›in remission
Related codes at this level
Codes that share F13.9. If F13.91 is not quite right, the correct code is usually one of these.
- F13.90Sedative, hypnotic, or anxiolytic use, unspecified, uncomplicated
- F13.92Sedative, hypnotic or anxiolytic use, unspecified with intoxication
- F13.93Sedative, hypnotic or anxiolytic use, unspecified with withdrawal
- F13.94Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced mood disorder
- F13.95Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder
- F13.96Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced persisting amnestic disorder
- F13.97Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced persisting dementia
- F13.98Sedative, hypnotic or anxiolytic use, unspecified with other sedative, hypnotic or anxiolytic-induced disorders
- F13.99Sedative, hypnotic or anxiolytic use, unspecified with unspecified sedative, hypnotic or anxiolytic-induced disorder
Questions about F13.91
- Is F13.91 a billable ICD-10-CM code?
- Yes. F13.91 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F13.91 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).