ICD-10 Code F13.250 – Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F13.250 – Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions
What it is
This code identifies dependence on sedative, hypnotic, or anxiolytic drugs with a substance-induced psychotic disorder marked by delusions. Use it when the psychosis is attributed to the substance, not to a primary psychiatric disorder.
Clinical signs
Clinical features vary; refer to documentation. Typical findings include fixed false beliefs, impaired reality testing, and evidence that symptoms developed during or soon after substance use, withdrawal, or intoxication.
When to use this code
Use this code when the record documents both dependence and a sedative-, hypnotic-, or anxiolytic-induced psychotic disorder with delusions. The provider should link the psychosis to the substance, and the chart should support that the substance caused the mental disturbance.
Choose it for encounters where delusions are part of the substance-induced psychotic presentation, including evaluation, ongoing management, or follow-up after an acute episode. Check documentation if the substance relationship or the presence of dependence is unclear.
Do not use for
Do not use this code for psychosis without documented delusions, or when the psychotic disorder is due to another substance or a primary mental disorder. Do not assign it if dependence is not documented.
Coding tip
Confirm that both dependence and substance-induced delusions are explicitly documented before assigning F13.250.