F13.280 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced anxiety disorder

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applies from F13.2 Sedative, hypnotic or anxiolytic-related dependence

Excludes1 (never code together)

• sedative, hypnotic or anxiolytic-related abuse (F13.1-)
• sedative, hypnotic, or anxiolytic use, unspecified (F13.9-)

Excludes2 (not included here)

• sedative, hypnotic, or anxiolytic poisoning (T42.-)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 137 — Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications
• CMS-HCC V22: HCC 55 — Drug/Alcohol Dependence
• ESRD V24: HCC 55

MS-DRG index

Defines the logic of DRG(s) 894-897 in MDC 20.

Approximate ICD-9-CM (GEMs)

• 292.89 Other specified drug-induced mental disorders (approximate)
• 304.10 Sedative, hypnotic or anxiolytic dependence, unspecified (approximate)

Code annotations containing back-references to F13.280

Back-references to F13.2

• Type 1 Excludes: F13.1 Sedative, hypnotic or anxiolytic-related abuse ("sedative, hypnotic or anxiolytic-related dependence (F13.2-)")
• Type 1 Excludes: F13.9 Sedative, hypnotic or anxiolytic-related use, unspecified ("sedative, hypnotic or anxiolytic-related dependence (F13.2-)")

Back-references to F13

• Type 2 Excludes: F02 Dementia in other diseases classified elsewhere ("dementia in alcohol and psychoactive substance disorders (F10-F19, with .17, .27, .97)")
• Type 2 Excludes: F06 Other mental disorders due to known physiological condition ("other mental disorders associated with alcohol and other psychoactive substances (F10-F19)")
• Type 2 Excludes: F06.0 Psychotic disorder with hallucinations due to known physiological condition ("hallucinations and perceptual disturbance induced by alcohol and other psychoactive substances (F10-F19 with .151, .251, .951)")
• Type 2 Excludes: F06.2 Psychotic disorder with delusions due to known physiological condition ("alcohol and drug-induced psychotic disorder (F10-F19 with .150, .250, .950)")
• Type 2 Excludes: F06.3 Mood disorder due to known physiological condition ("mood disorders due to alcohol and other psychoactive substances (F10-F19 with .14, .24, .94)")
• Type 2 Excludes: F06.4 Anxiety disorder due to known physiological condition ("anxiety disorders due to alcohol and other psychoactive substances (F10-F19 with .180, .280, .980)")
• Type 2 Excludes: F20 Schizophrenia ("psychoactive drug use (F11-F19 with .15. .25, .95)")
• Type 2 Excludes: F44.0 Dissociative amnesia ("alcohol-or other psychoactive substance-induced amnestic disorder (F10, F13, F19 with .26, .96)")
• Type 2 Excludes: F55 Abuse of non-psychoactive substances ("abuse of psychoactive substances (F10-F19)")
• Type 2 Excludes: F63 Impulse disorders ("habitual excessive use of alcohol or psychoactive substances (F10-F19)")
• Type 2 Excludes: F63.1 Pyromania ("alcohol or psychoactive substance intoxication (F10-F19)")
• Use Additional: O99.32 Drug use complicating pregnancy, childbirth, and the puerperium ("code(s) from F11-F16 and F18-F19 to identify manifestations of the drug use")
• Type 1 Excludes: R41.3 Other amnesia ("amnestic syndrome due to psychoactive substance use (F10-F19 with 5th character .6)")
• Type 1 Excludes: R44 Other symptoms and signs involving general sensations and perceptions ("hallucinations in drug psychosis (F11-F19 with fifth to sixth characters 51)")
• Type 2 Excludes: R78 Findings of drugs and other substances, not normally found in blood ("mental or behavioral disorders due to psychoactive substance use (F10-F19)")
• Use Additional: Z71.5 Drug abuse counseling and surveillance ("code for drug abuse or dependence (F11-F16, F18-F19)")
• Type 2 Excludes: Z79 Long term (current) drug therapy ("drug abuse and dependence (F11-F19)")

Diagnosis Index entries for F13.280

• Dependence (on) (syndrome) › drug NEC › sedative, hypnotic or anxiolytic › with › anxiety disorder
• Disorder (of) › anxiety › due to (secondary to) › anxiolytic › in › dependence
• Disorder (of) › anxiety › due to (secondary to) › hypnotic › in › dependence
• Disorder (of) › anxiety › due to (secondary to) › sedative › in › dependence
• Disorder (of) › sedative, hypnotic, or anxiolytic use › moderate or severe › with › sedative, hypnotic, or anxiolytic-induced › anxiety disorder

Nearby codes

• F13.251 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations
• F13.259 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified
• F13.26 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting amnestic disorder
• F13.27 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting dementia
• 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 disorder (this code)
• F13.281 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sexual dysfunction
• F13.282 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sleep disorder
• F13.288 Sedative, hypnotic or anxiolytic dependence with other sedative, hypnotic or anxiolytic-induced disorder
• F13.29 Sedative, hypnotic or anxiolytic dependence with unspecified sedative, hypnotic or anxiolytic-induced disorder
• F13.9 Sedative, hypnotic or anxiolytic-related use, unspecified