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F13.139 ICD-10-CM Code: Sedative, hypnotic or anxiolytic abuse with withdrawal, unspecified

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 791 — PREMATURITY WITH MAJOR PROBLEMS (MDC 15)
  • MS-DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)
  • MS-DRG 894 — ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA (MDC 20)
  • MS-DRG 895 — ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY (MDC 20)
  • MS-DRG 896 — ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC (MDC 20)
  • MS-DRG 897 — ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC (MDC 20)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Risk Adjustment (CMS-HCC)

Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.

  • HCC 137 — Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications (supersedes HCC 138, HCC 139)

Other models: CMS-HCC V22 HCC 55

Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.

Official Registry Overview & Definition

Sedative, hypnotic or anxiolytic abuse with withdrawal, unspecified is a billable ICD-10-CM diagnosis code (F13.139).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for F13.139 in the official ICD-10-CM tabular list.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Indexed Clinical Terms (1)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Abuse, drug NEC (non-dependent), sedative, hypnotic or anxiolytic, with, withdrawal

Frequently Compared Codes

The official Excludes notes on F13.139 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2021 — 2020-10-01
    Added to the code set
    Sedative, hypnotic or anxiolytic abuse with withdrawal, unspecified
    FY2021 changes

Verify Before Coding

  • CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Relationships & Classification

Other codes that name F13.139 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

2 Excludes1 notes: F13.2 (via F13.1.-), F13.9 (via F13.1.-).

Potential MS-DRG Relationships (FY2026)

CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 458 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 6 MS-DRGs: DRG 791 (MDC 15), DRG 793 (MDC 15), DRG 894 (MDC 20), DRG 895 (MDC 20), DRG 896 (MDC 20), DRG 897 (MDC 20).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):MBD020 — Sedative-related disorders (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same CMS-HCC risk category (V28)

CMS maps these diagnoses to the same Hierarchical Condition Category (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications) for risk-adjusted payment.

F12.988 — Cannabis use, unspecified with other cannabis-induced disorder (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), F13.120 — Sedative, hypnotic or anxiolytic abuse with intoxication, uncomplicated (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), F13.121 — Sedative, hypnotic or anxiolytic abuse with intoxication delirium (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), F13.129 — Sedative, hypnotic or anxiolytic abuse with intoxication, unspecified (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), F13.130 — Sedative, hypnotic or anxiolytic abuse with withdrawal, uncomplicated (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), F13.14 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced mood disorder (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), F13.180 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced anxiety disorder (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), F13.181 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sexual dysfunction (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), F13.182 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sleep disorder (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), F13.188 — Sedative, hypnotic or anxiolytic abuse with other sedative, hypnotic or anxiolytic-induced disorder (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), +297 more

Related risk categories

These categories interact through CMS's HCC hierarchy — one can suppress the other's risk-adjustment weight when both are present on a claim.

Alcohol Use with Psychotic Complications (related risk category), Drug Use with Psychotic Complications (related risk category), Drug Use Disorder, Mild, Uncomplicated, Except Cannabis (related risk category), Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications (related risk category)

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Sedative-related disorders).

F13.121 — Sedative, hypnotic or anxiolytic abuse with intoxication delirium, F13.129 — Sedative, hypnotic or anxiolytic abuse with intoxication, unspecified, F13.130 — Sedative, hypnotic or anxiolytic abuse with withdrawal, uncomplicated, F13.131 — Sedative, hypnotic or anxiolytic abuse with withdrawal delirium, F13.132 — Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance, F13.14 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced mood disorder, F13.150 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions, F13.151 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations, F13.159 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified, F13.180 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced anxiety disorder, +54 more

Contextual Map

Every relationship of F13.139 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • F01-F99 — Chapter 5: Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) (F01-F99) [Hierarchy]
  • F10-F19 — Mental and behavioral disorders due to psychoactive substance use [Hierarchy]

Referenced by Excludes1 notes

  • F13.2 — Sedative, hypnotic or anxiolytic-related dependence [Excludes1](via F13.1.-): “sedative, hypnotic or anxiolytic-related abuse (F13.1-)” · check together
  • F13.9 — Sedative, hypnotic or anxiolytic-related use, unspecified [Excludes1](via F13.1.-): “sedative, hypnotic or anxiolytic-related abuse (F13.1-)” · check together

Clinical classification (CCSR)

  • MBD020 — Sedative-related disorders [CCSR]

Risk adjustment (CMS-HCC)

  • HCC 137 — Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications [CMS-HCC]: “Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications — supersedes HCC 138 (Drug Use Disorder, Mild, Uncomplicated, Except Cannabis), HCC 139 (Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications)”

Potential MS-DRG

  • CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”
  • DRG 791 — PREMATURITY WITH MAJOR PROBLEMS [MS-DRG]: “PREMATURITY WITH MAJOR PROBLEMS (MDC 15)”
  • DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS [MS-DRG]: “FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)”
  • DRG 894 — ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA [MS-DRG]: “ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA (MDC 20)”
  • DRG 895 — ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY [MS-DRG]: “ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY (MDC 20)”
  • DRG 896 — ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC [MS-DRG]: “ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC (MDC 20)”
  • DRG 897 — ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC [MS-DRG]: “ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC (MDC 20)”

MDC crossing · procedures (35)

  • MDC 15 — Newborns and Other Neonates with Conditions Originating in Perinatal Period [MDC crossing]: “Newborns and Other Neonates with Conditions Originating in Perinatal Period — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • MDC 20 — Alcohol or Drug Use or Induced Organic Mental Disorders [MDC crossing]: “Alcohol or Drug Use or Induced Organic Mental Disorders — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • and 35 more

Index entries

  • Abuse, drug NEC (non-dependent), sedative, hypnotic or anxiolytic, with, withdrawal[Index term]

Nearest codes (40)

  • F13 — Sedative, hypnotic, or anxiolytic related disorders [Sibling]
  • F13.1 — Sedative, hypnotic or anxiolytic-related abuse [Sibling]
  • F13.10 — Sedative, hypnotic or anxiolytic abuse, uncomplicated [Sibling]
  • F13.11 — Sedative, hypnotic or anxiolytic abuse, in remission [Sibling]
  • F13.12 — Sedative, hypnotic or anxiolytic abuse with intoxication [Sibling]
  • F13.120 — Sedative, hypnotic or anxiolytic abuse with intoxication, uncomplicated [Sibling]
  • F13.121 — Sedative, hypnotic or anxiolytic abuse with intoxication delirium [Sibling]
  • F13.129 — Sedative, hypnotic or anxiolytic abuse with intoxication, unspecified [Sibling]
  • and 32 more

Change history

  • FY2021 — Added to the code set [Change history]

Nearest Codes in This Family

Official ICD-10-CM classifications closest to F13.139 in its code family, with their registry titles.

  • F13.129 — Sedative, hypnotic or anxiolytic abuse with intoxication, unspecified
  • F13.13 — Sedative, hypnotic or anxiolytic abuse with withdrawal
  • F13.130 — Sedative, hypnotic or anxiolytic abuse with withdrawal, uncomplicated
  • F13.131 — Sedative, hypnotic or anxiolytic abuse with withdrawal delirium
  • F13.132 — Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance
  • F13.14 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced mood disorder
  • F13.15 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder
  • F13.150 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions
  • F13.151 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations
  • F13.159 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified

View all codes in the F13 family