ICD-10 Code F13.23 – Sedative, hypnotic or anxiolytic dependence with withdrawal (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F13.23 – Sedative, hypnotic or anxiolytic dependence with withdrawal
What it is
This code identifies dependence on sedative, hypnotic, or anxiolytic drugs with withdrawal symptoms after reduction or stopping. Use it when the record shows both dependence and a withdrawal state.
Clinical signs
Withdrawal may include anxiety, insomnia, tremor, agitation, or autonomic symptoms after the drug is reduced or stopped. Clinical features vary; refer to documentation.
When to use this code
Use F13.23 when the clinician documents sedative, hypnotic, or anxiolytic dependence and states that withdrawal is present. It fits encounters for detoxification, assessment, or management of withdrawal related to these substances. Check documentation if the note does not clearly link withdrawal to dependence.
Do not use for
Do not use this code for simple use, abuse, or intoxication without withdrawal. Do not assign it if the record mentions withdrawal from another drug class or the substance is not specified.
Coding tip
Confirm both dependence and withdrawal are documented together before assigning F13.23.