Sedative or hypnotic, withdrawal

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ICD10 Diagnosis
Dx: Sedative or hypnotic, withdrawal
ICD10 code: F13.3
Pre-ICD10 counterpart: 2nd to Drug OD/ETOH Intox/Withdrawal (Toxic Encephalitis)
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: none
External ICD10 Documentation
This diagnosis is a part of ICD10 collection.

Additional Info

Common sedatives or hypnotics

  • benzodiazepines
  • barbiturates
  • dilantin and most other antiseizure drugs
  • tricyclics and most anti-depressants (but not lithium, which is categorized under “Psychiatric drug NOS”)

Withdrawal codes

  • This category indicates that the patient has current withdrawal symptoms or syndrome for the indicated substance.
  • While withdrawal USUALLY goes along with chronic abuse/dependence/addiction, there are drugs where one may get withdrawal symptoms after a first use (e.g. methamphetamines)
    • Thus, if (as will often but not universally be the case) a person in withdrawal does have a chronic abuse/dependence/addiction for that substance, you SHOULD also code that.
withdrawal codes:

Coding substance related ICD10 diagnoses

See ICD10 Guideline for drugs and substances for more info on coding substance related ICD10 diagnoses.

Distinguishing between Sedative/hypnotics, Hallucinogens, and Psychoactive substances

Common sedatives or hypnotics

  • benzodiazepines
  • barbiturates
  • dilantin and most other antiseizure drugs
  • tricyclics and most anti-depressants (but not lithium, which is categorized under “Psychiatric drug NOS”)

Common hallucinogens

  • LSD (lysergic acid diethylamide)
  • PCP (phencyclidine)
  • magic mushrooms (psilocybin)
  • ketamine
  • mescaline (peyote cactus)
  • morning glory seeds
  • datura
  • don't include cannabis under general hallucinogens, see

Common Psychoactive Substances

  • Pharmaceuticals:
    • lithium
    • phenothiazines
    • olanzapine (Zyprexa)
    • respiradone (Respirdol
    • quetiapine (Seroquel)
    • methylphenidate(Ritalin)
    • amphetamines (Adderol)
    • other antipsychotics
  • Street drugs/agents:
    • ecstacy (MDMA)
    • nitrous oxide

Alternate ICD10s to consider coding instead or in addition

sedative related codes:
withdrawal codes:

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (SMW)

none found

Related Articles

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