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Compare/F13.1 vs F13.9

F13.1 vs F13.9

F13.1 (Sedative, hypnotic or anxiolytic-related abuse) compared with F13.9 (Sedative, hypnotic or anxiolytic-related use, unspecified), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. F13.1 carries an Excludes1 note covering F13.9: “sedative, hypnotic, or anxiolytic use, unspecified (F13.9-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. F13.9 carries an Excludes1 note covering F13.1: “sedative, hypnotic or anxiolytic-related abuse (F13.1-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

F13.1Sedative, hypnotic or anxiolytic-related abuseF13.9Sedative, hypnotic or anxiolytic-related use, unspecified
Billing statusNon-billable header

Report instead: F13.10, F13.11, F13.120, F13.121, F13.129

Non-billable header

Report instead: F13.90, F13.91, F13.920, F13.921, F13.929

ClassificationF01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)
DefinitionSedative, hypnotic or anxiolytic-related abuse is a non-billable ICD-10-CM category code (F13.1).Sedative, hypnotic or anxiolytic-related use, unspecified is a non-billable ICD-10-CM category code (F13.9).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources