Sedative, hypnotic or anxiolytic abuse, uncomplicated

This code signifies a pattern of problematic sedative, hypnotic, or anxiolytic use that leads to clinically significant impairment or distress, without the presence of physiological dependence. Patients may exhibit a strong desire to use the substance, continued use despite negative consequences, or failure to fulfill major role obligations due to substance use.

Apply this code when documentation clearly indicates abuse of sedatives, hypnotics, or anxiolytics without any signs or symptoms of withdrawal or tolerance. This is appropriate for patients who misuse these substances but do not meet criteria for dependence. Supporting documentation would include a clinician's assessment noting problematic use patterns without physical dependence.

• Differentiate carefully between abuse and dependence; dependence (with or without withdrawal) requires a different code.
• Ensure the documentation specifies the substance class (sedative, hypnotic, or anxiolytic) to justify this specific code.
• Do not use this code if the patient exhibits withdrawal symptoms or increased tolerance; those indicate dependence.