ICD-10-CM Billable Code

F13.951

Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 Code F13.951 refers to a specific mental health condition caused by the use of sedatives, hypnotics, or anxiolytics. These medications are often prescribed to help with anxiety, sleep issues, or relaxation. However, in some cases, their use can lead to a psychotic disorder characterized by hallucinations. This condition involves altered perceptions and thoughts that can be distressing and disruptive.

Causes & Symptoms

Clinical Causes: Prolonged or high-dose use of sedative, hypnotic, or anxiolytic medications Sensitivity or adverse reaction to these medications Combination of these drugs with other substances such as alcohol or recreational drugs Underlying mental health conditions that may be exacerbated by medication use Individual differences in metabolism and brain chemistry

Key Symptoms: Hallucinations, which involve seeing, hearing, or feeling things that are not present Disorganized thoughts or speech Confusion or difficulty concentrating Altered perception of reality Mood changes, such as agitation or depression Possible delusions or false beliefs

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a thorough clinical assessment by a healthcare professional, including a detailed history of medication use, mental health evaluation, and ruling out other causes of psychotic symptoms. Healthcare providers may also perform physical examinations and laboratory tests to exclude medical conditions that could contribute to psychosis.

Treatment Protocols: Treatment typically includes discontinuing or adjusting the offending medication under medical supervision. Additional interventions may involve antipsychotic medications to manage hallucinations and psychotic symptoms, psychotherapy to support mental health, and close monitoring for any recurrence of symptoms. Support from mental health professionals can help individuals manage the effects of the disorder and prevent future episodes.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is F13.951 a billable ICD-10 code?
Yes, F13.951 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report F13.951?
Clinical documentation must specify the nature of Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations and any associated comorbidities for accurate reporting.

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