Sedative, hypnotic or anxiolytic abuse w sleep disorder

This code signifies a pattern of problematic sedative, hypnotic, or anxiolytic use leading to clinically significant impairment or distress, specifically complicated by a sleep disorder directly induced by the substance. This includes conditions like insomnia or hypersomnia that are a direct physiological consequence of the drug's use.

Apply this code when a patient demonstrates a maladaptive pattern of sedative, hypnotic, or anxiolytic use, and a physician explicitly documents a substance-induced sleep disorder. Documentation should clearly link the sleep disturbance to the substance abuse, rather than a pre-existing or co-occurring independent sleep disorder.

• Ensure documentation specifies "abuse" rather than "dependence" or "use."
• Verify the sleep disorder is explicitly stated as "substance-induced" and not a primary sleep disorder.
• Do not use if the patient is in remission; consider F13.11 for abuse with remission.