ICD-10 Code F13.181 – Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sexual dysfunction (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F13.181 – Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sexual dysfunction
What it is
This code identifies sedative, hypnotic, or anxiolytic abuse when the substance is causing sexual dysfunction. Use it when the record links the drug misuse to the sexual problem.
Clinical signs
Clinical features vary; refer to documentation. Commonly documented findings include reduced sexual desire, arousal problems, or impaired sexual performance temporally associated with sedative, hypnotic, or anxiolytic use.
When to use this code
Use this code when the provider documents abuse of a sedative, hypnotic, or anxiolytic and specifies that it has caused sexual dysfunction. It may apply when the sexual problem is part of the substance-induced diagnosis, not a separate primary disorder. Check documentation for the substance involved and the causal relationship.
Do not use for
Do not use this code for simple use, dependence, or withdrawal without abuse or without sexual dysfunction. Do not assign it if the sexual symptoms are unrelated to the substance or if documentation is unclear.
Coding tip
Code the substance-induced condition only when the provider clearly connects the abuse to the sexual dysfunction.