ICD-10 · PDGM grouping
F13 Sedative, hypnotic, or anxiolytic related disorders
All 58 codes in the F13 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
58
Can lead a claim
56
Cannot lead a claim
2
What CMS assigns to F13
56 of the 58 codes group to Behavioral Health; 2 are assigned no clinical group. 5 of the 58 count toward the Mental and Behavioral Disorders Due to Psychoactive Substance Abuse comorbidity subgroup; 53 are assigned none. 56 of the 58 can lead a claim.
- Mental and Behavioral Disorders Due to Psychoactive Substance Abuse
Every code in F13
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| F13.1 Sedative, hypnotic or anxiolytic-related abuse | ||||
| F13.10 | Sedative, hypnotic or anxiolytic abuse, uncomplicated | Can lead a claim | F | None |
| F13.11 | Sedative, hypnotic or anxiolytic abuse, in remission | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| F13.12 Sedative, hypnotic or anxiolytic abuse with intoxication | ||||
| F13.120 | Sedative, hypnotic or anxiolytic abuse with intoxication, uncomplicatedCMS: Sedatv/hyp/anxiolytc abuse w intoxication, uncomplicated | Can lead a claim | F | None |
| F13.121 | Sedative, hypnotic or anxiolytic abuse with intoxication deliriumCMS: Sedatv/hyp/anxiolytc abuse w intoxication delirium | Can lead a claim | F | None |
| F13.129 | Sedative, hypnotic or anxiolytic abuse with intoxication, unspecifiedCMS: Sedative, hypnotic or anxiolytic abuse w intoxication, unsp | Can lead a claim | F | None |
| F13.13 Sedative, hypnotic or anxiolytic abuse with withdrawal | ||||
| F13.130 | Sedative, hypnotic or anxiolytic abuse with withdrawal, uncomplicatedCMS: Sedatv/hyp/anxiolytc abuse with withdrawal, uncomplicated | Can lead a claim | F | Mental and Behavioral Disorders Due to Psychoactive Substance Abuse |
| F13.131 | Sedative, hypnotic or anxiolytic abuse with withdrawal deliriumCMS: Sedatv/hyp/anxiolytc abuse with withdrawal delirium | Can lead a claim | F | Mental and Behavioral Disorders Due to Psychoactive Substance Abuse |
| F13.132 | Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbanceCMS: Sedatv/hyp/anxiolytc abuse with w/drawal w perceptl disturb | Can lead a claim | F | Mental and Behavioral Disorders Due to Psychoactive Substance Abuse |
| F13.139 | Sedative, hypnotic or anxiolytic abuse with withdrawal, unspecifiedCMS: Sedatv/hyp/anxiolytc abuse with withdrawal, unspecified | Can lead a claim | F | Mental and Behavioral Disorders Due to Psychoactive Substance Abuse |
| F13.14 | Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced mood disorderCMS: Sedative, hypnotic or anxiolytic abuse w mood disorder | Can lead a claim | F | None |
| 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 delusionsCMS: Sedatv/hyp/anxiolytc abuse w psychotic disorder w delusions | Can lead a claim | F | None |
| F13.151 | Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinationsCMS: Sedatv/hyp/anxiolytc abuse w psychotic disorder w hallucin | Can lead a claim | F | None |
| F13.159 | Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecifiedCMS: Sedatv/hyp/anxiolytc abuse w psychotic disorder, unsp | Can lead a claim | F | None |
| F13.18 Sedative, hypnotic or anxiolytic abuse with other sedative, hypnotic or anxiolytic-induced disorders | ||||
| F13.180 | Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced anxiety disorderCMS: Sedative, hypnotic or anxiolytic abuse w anxiety disorder | Can lead a claim | F | None |
| F13.181 | Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sexual dysfunctionCMS: Sedative, hypnotic or anxiolytic abuse w sexual dysfunction | Can lead a claim | F | None |
| F13.182 | Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sleep disorderCMS: Sedative, hypnotic or anxiolytic abuse w sleep disorder | Can lead a claim | F | None |
| F13.188 | Sedative, hypnotic or anxiolytic abuse with other sedative, hypnotic or anxiolytic-induced disorderCMS: Sedative, hypnotic or anxiolytic abuse w oth disorder | Can lead a claim | F | None |
| F13.19 | Sedative, hypnotic or anxiolytic abuse with unspecified sedative, hypnotic or anxiolytic-induced disorderCMS: Sedative, hypnotic or anxiolytic abuse w unsp disorder | Can lead a claim | F | None |
| F13.2 Sedative, hypnotic or anxiolytic-related dependence | ||||
| F13.20 | Sedative, hypnotic or anxiolytic dependence, uncomplicated | Can lead a claim | F | Mental and Behavioral Disorders Due to Psychoactive Substance Abuse |
| F13.21 | Sedative, hypnotic or anxiolytic dependence, in remission | Can lead a claim | F | None |
| F13.22 Sedative, hypnotic or anxiolytic dependence with intoxication | ||||
| F13.220 | Sedative, hypnotic or anxiolytic dependence with intoxication, uncomplicatedCMS: Sedatv/hyp/anxiolytc dependence w intoxication, uncomp | Can lead a claim | F | None |
| F13.221 | Sedative, hypnotic or anxiolytic dependence with intoxication deliriumCMS: Sedatv/hyp/anxiolytc dependence w intoxication delirium | Can lead a claim | F | None |
| F13.229 | Sedative, hypnotic or anxiolytic dependence with intoxication, unspecifiedCMS: Sedatv/hyp/anxiolytc dependence w intoxication, unsp | Can lead a claim | F | None |
| F13.23 Sedative, hypnotic or anxiolytic dependence with withdrawal | ||||
| F13.230 | Sedative, hypnotic or anxiolytic dependence with withdrawal, uncomplicatedCMS: Sedatv/hyp/anxiolytc dependence w withdrawal, uncomplicated | Can lead a claim | F | None |
| F13.231 | Sedative, hypnotic or anxiolytic dependence with withdrawal deliriumCMS: Sedatv/hyp/anxiolytc dependence w withdrawal delirium | Can lead a claim | F | None |
| F13.232 | Sedative, hypnotic or anxiolytic dependence with withdrawal with perceptual disturbanceCMS: Sedatv/hyp/anxiolytc depend w w/drawal w perceptual disturb | Can lead a claim | F | None |
| F13.239 | Sedative, hypnotic or anxiolytic dependence with withdrawal, unspecifiedCMS: Sedatv/hyp/anxiolytc dependence w withdrawal, unsp | Can lead a claim | F | None |
| F13.24 | Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced mood disorderCMS: Sedative, hypnotic or anxiolytic dependence w mood disorder | Can lead a claim | F | None |
| F13.25 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder | ||||
| F13.250 | Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusionsCMS: Sedatv/hyp/anxiolytc depend w psychotic disorder w delusions | Can lead a claim | F | None |
| F13.251 | Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinationsCMS: Sedatv/hyp/anxiolytc depend w psychotic disorder w hallucin | Can lead a claim | F | None |
| F13.259 | Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecifiedCMS: Sedatv/hyp/anxiolytc dependence w psychotic disorder, unsp | Can lead a claim | F | None |
| F13.26 | Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting amnestic disorderCMS: Sedatv/hyp/anxiolytc depend w persisting amnestic disorder | Can lead a claim | F | None |
| F13.27 | Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting dementiaCMS: Sedatv/hyp/anxiolytc dependence w persisting dementia | Can lead a claim | F | None |
| F13.28 Sedative, hypnotic or anxiolytic dependence with other sedative, hypnotic or anxiolytic-induced disorders | ||||
| F13.280 | Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced anxiety disorderCMS: Sedatv/hyp/anxiolytc dependence w anxiety disorder | Can lead a claim | F | None |
| F13.281 | Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sexual dysfunctionCMS: Sedatv/hyp/anxiolytc dependence w sexual dysfunction | Can lead a claim | F | None |
| F13.282 | Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sleep disorderCMS: Sedative, hypnotic or anxiolytic dependence w sleep disorder | Can lead a claim | F | None |
| F13.288 | Sedative, hypnotic or anxiolytic dependence with other sedative, hypnotic or anxiolytic-induced disorderCMS: Sedative, hypnotic or anxiolytic dependence w oth disorder | Can lead a claim | F | None |
| F13.29 | Sedative, hypnotic or anxiolytic dependence with unspecified sedative, hypnotic or anxiolytic-induced disorderCMS: Sedative, hypnotic or anxiolytic dependence w unsp disorder | Can lead a claim | F | None |
| F13.9 Sedative, hypnotic or anxiolytic-related use, unspecified | ||||
| F13.90 | Sedative, hypnotic, or anxiolytic use, unspecified, uncomplicatedCMS: Sedative, hypnotic, or anxiolytic use, unsp, uncomplicated | Can lead a claim | F | None |
| F13.91 | Sedative, hypnotic or anxiolytic use, unspecified, in remissionCMS: Sedatv/hyp/anxiolytc use, unspecified, in remission | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| F13.92 Sedative, hypnotic or anxiolytic use, unspecified with intoxication | ||||
| F13.920 | Sedative, hypnotic or anxiolytic use, unspecified with intoxication, uncomplicatedCMS: Sedatv/hyp/anxiolytc use, unsp w intoxication, uncomplicated | Can lead a claim | F | None |
| F13.921 | Sedative, hypnotic or anxiolytic use, unspecified with intoxication deliriumCMS: Sedatv/hyp/anxiolytc use, unsp w intoxication delirium | Can lead a claim | F | None |
| F13.929 | Sedative, hypnotic or anxiolytic use, unspecified with intoxication, unspecifiedCMS: Sedatv/hyp/anxiolytc use, unsp w intoxication, unsp | Can lead a claim | F | None |
| F13.93 Sedative, hypnotic or anxiolytic use, unspecified with withdrawal | ||||
| F13.930 | Sedative, hypnotic or anxiolytic use, unspecified with withdrawal, uncomplicatedCMS: Sedatv/hyp/anxiolytc use, unsp w withdrawal, uncomplicated | Can lead a claim | F | None |
| F13.931 | Sedative, hypnotic or anxiolytic use, unspecified with withdrawal deliriumCMS: Sedatv/hyp/anxiolytc use, unsp w withdrawal delirium | Can lead a claim | F | None |
| F13.932 | Sedative, hypnotic or anxiolytic use, unspecified with withdrawal with perceptual disturbancesCMS: Sedatv/hyp/anxiolytc use, unsp w w/drawal w perceptl disturb | Can lead a claim | F | None |
| F13.939 | Sedative, hypnotic or anxiolytic use, unspecified with withdrawal, unspecifiedCMS: Sedatv/hyp/anxiolytc use, unsp w withdrawal, unsp | Can lead a claim | F | None |
| F13.94 | Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced mood disorderCMS: Sedative, hypnotic or anxiolytic use, unsp w mood disorder | Can lead a claim | F | None |
| F13.95 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder | ||||
| F13.950 | Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusionsCMS: Sedatv/hyp/anxiolytc use, unsp w psych disorder w delusions | Can lead a claim | F | None |
| F13.951 | Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinationsCMS: Sedatv/hyp/anxiolytc use, unsp w psych disorder w hallucin | Can lead a claim | F | None |
| F13.959 | Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecifiedCMS: Sedatv/hyp/anxiolytc use, unsp w psychotic disorder, unsp | Can lead a claim | F | None |
| F13.96 | Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced persisting amnestic disorderCMS: Sedatv/hyp/anxiolytc use, unsp w persist amnestic disorder | Can lead a claim | F | None |
| F13.97 | Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced persisting dementiaCMS: Sedatv/hyp/anxiolytc use, unsp w persisting dementia | Can lead a claim | F | None |
| F13.98 Sedative, hypnotic or anxiolytic use, unspecified with other sedative, hypnotic or anxiolytic-induced disorders | ||||
| F13.980 | Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced anxiety disorderCMS: Sedatv/hyp/anxiolytc use, unsp w anxiety disorder | Can lead a claim | F | None |
| F13.981 | Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sexual dysfunctionCMS: Sedatv/hyp/anxiolytc use, unsp w sexual dysfunction | Can lead a claim | F | None |
| F13.982 | Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sleep disorderCMS: Sedative, hypnotic or anxiolytic use, unsp w sleep disorder | Can lead a claim | F | None |
| F13.988 | Sedative, hypnotic or anxiolytic use, unspecified with other sedative, hypnotic or anxiolytic-induced disorderCMS: Sedative, hypnotic or anxiolytic use, unsp w oth disorder | Can lead a claim | F | None |
| F13.99 | Sedative, hypnotic or anxiolytic use, unspecified with unspecified sedative, hypnotic or anxiolytic-induced disorderCMS: Sedative, hypnotic or anxiolytic use, unsp w unsp disorder | Can lead a claim | F | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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