Sedatv/hyp/anxiolytc abuse w intoxication delirium

This code signifies a pattern of problematic sedative, hypnotic, or anxiolytic use leading to clinically significant impairment or distress, specifically complicated by a state of acute delirium due to the intoxicating effects of the substance. Delirium is characterized by an acute disturbance in attention, awareness, and cognition.

Apply this code when documentation clearly indicates both abuse of a sedative, hypnotic, or anxiolytic substance and the presence of intoxication delirium directly attributable to that substance. This typically involves an acute onset of confusion, disorientation, and altered mental status in a patient with a history or current evidence of substance abuse.

• Ensure documentation explicitly links the delirium to the acute intoxicating effects of the sedative, hypnotic, or anxiolytic.
• Distinguish from withdrawal delirium (F13.231) where delirium occurs after cessation or reduction of the substance.
• Code any co-occurring physical conditions or injuries resulting from the delirium or intoxication.