ICD-10 Coding for Benzo Withdrawal(F13.239, F13.932)
Complete ICD-10-CM coding and documentation guide for Benzo Withdrawal. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Benzo Withdrawal
F13.2-F13.9Primary Range
Mental and behavioral disorders due to use of sedatives, hypnotics, or anxiolytics
This range includes codes for withdrawal, dependence, and use of benzodiazepines.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F13.239 | Sedative, hypnotic, or anxiolytic dependence with withdrawal | Use when benzodiazepine dependence is documented along with withdrawal symptoms. |
|
| F13.932 | Sedative, hypnotic, or anxiolytic use, unspecified with withdrawal | Use when withdrawal symptoms are present but dependence is not 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 withdrawal
Essential facts and insights about Benzo Withdrawal
Primary ICD-10-CM Codes for benzo withdrawal
Decision Criteria
documentation Criteria
- Dependence must be explicitly documented.
Applicable To
- Benzodiazepine dependence with withdrawal symptoms
Excludes
- Sedative, hypnotic, or anxiolytic use without dependence
Clinical Validation Requirements
- Documented dependence on benzodiazepines
- Presence of withdrawal symptoms such as tremors, anxiety, or seizures
Code-Specific Risks
- Misclassification if dependence is not explicitly documented
Coding Notes
- Ensure dependence is clearly documented to use this code.
F13.932 - Sedative, hypnotic, or anxiolytic use, unspecified with withdrawal
Use when withdrawal symptoms are present but dependence is not documented.
Applicable To
- Benzodiazepine use with withdrawal symptoms
Excludes
- Dependence with withdrawal
Clinical Validation Requirements
- Withdrawal symptoms present without documented dependence
Coding Notes
Ensure that dependence is not documented to use this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Sedative, hypnotic, or anxiolytic withdrawal delirium
F13.4Differential 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 Benzo Withdrawal to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F13.239.
Impact
Clinical: Misrepresentation of patient's condition., Regulatory: Potential audit risk., Financial: Incorrect billing and reimbursement.
Mitigation Strategy
Educate providers on documentation requirements., Use templates to ensure completeness.
Impact
Reimbursement: May lead to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on substance use disorders.
Mitigation Strategy
Query provider to confirm if dependence criteria are met.
Impact
Inadequate documentation of dependence can lead to audit findings.
Mitigation Strategy
Ensure all notes explicitly state dependence criteria.
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 Benzo Withdrawal, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Benzo Withdrawal
Use these documentation templates to ensure complete and accurate documentation for Benzo Withdrawal. These templates include all required elements for proper coding and billing.
Inpatient Withdrawal Management
Specialty: PsychiatryRequired Elements
- Substance use history
- Withdrawal symptoms
- CIWA-Ar scores
- Tapering plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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