ICD-10 Coding for Benzodiazepine Dependence(F13.20, F13.21, F13.23)
Complete ICD-10-CM coding and documentation guide for Benzodiazepine Dependence. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Benzodiazepine Dependence
F13.20-F13.29Primary Range
Sedative, hypnotic or anxiolytic dependence
This range covers all codes related to benzodiazepine dependence, including uncomplicated dependence, dependence in remission, and withdrawal states.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F13.20 | Sedative, hypnotic or anxiolytic dependence, uncomplicated | Use when there is documented evidence of benzodiazepine dependence without complications. |
|
| F13.21 | Sedative, hypnotic or anxiolytic dependence, in remission | Use when the provider documents that the dependence is in remission. |
|
| F13.23 | Sedative, hypnotic or anxiolytic withdrawal | Use when withdrawal symptoms are documented. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for benzodiazepine dependence
Essential facts and insights about Benzodiazepine Dependence
Primary ICD-10-CM Codes for benzodiazepine dependence
Decision Criteria
clinical Criteria
- Presence of tolerance and withdrawal symptoms
documentation Criteria
- Provider documentation of continued use despite harm
Applicable To
- Benzodiazepine dependence without complications
Clinical Validation Requirements
- Documented tolerance and withdrawal symptoms
- Compulsive use despite negative consequences
Code-Specific Risks
- Misclassification with abuse or use codes
Coding Notes
- Ensure documentation supports the diagnosis of dependence, including DSM-5 criteria.
F13.21 - Sedative, hypnotic or anxiolytic dependence, in remission
Use when the provider documents that the dependence is in remission.
Applicable To
- Benzodiazepine dependence in remission
Clinical Validation Requirements
- Provider documentation of remission status
Coding Notes
Ensure remission status is clearly documented.
F13.23 - Sedative, hypnotic or anxiolytic withdrawal
Use when withdrawal symptoms are documented.
Applicable To
- Benzodiazepine withdrawal symptoms
Clinical Validation Requirements
- Documented withdrawal symptoms such as tremors or seizures
Coding Notes
Document specific withdrawal symptoms and any complications.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Benzodiazepine Dependence to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F13.20.
Impact
Clinical: Inaccurate clinical picture, Regulatory: Potential audit issues, Financial: Incorrect reimbursement
Mitigation Strategy
Ensure detailed symptom documentation, Use templates for consistency
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Use only the dependence code when both are documented.
Impact
Failure to document DSM-5 criteria for dependence
Mitigation Strategy
Use structured templates to ensure all criteria are documented
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Benzodiazepine Dependence, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Benzodiazepine Dependence
Use these documentation templates to ensure complete and accurate documentation for Benzodiazepine Dependence. These templates include all required elements for proper coding and billing.
Benzodiazepine dependence with withdrawal
Specialty: PsychiatryRequired Elements
- Substance name
- Tolerance and withdrawal symptoms
- Functional impairment
- Provider statement of dependence
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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