Sedative, hypnotic or anxiolytic dependence w unsp disorder

This code signifies a patient's physiological or psychological dependence on sedative, hypnotic, or anxiolytic substances, where the specific substance-induced disorder (e.g., psychosis, mood disorder, anxiety disorder) is not documented or cannot be determined. It indicates a chronic pattern of substance use leading to significant impairment or distress.

Apply this code when documentation clearly states dependence on sedatives, hypnotics, or anxiolytics, but the associated mental or behavioral disorder resulting from this use is not specified. This is appropriate when a clinician diagnoses dependence without further detailing the acute or chronic effects on mental status. Supporting documentation includes a diagnosis of substance dependence and a lack of specificity regarding the induced disorder.

• Do not use this code if a specific sedative, hypnotic, or anxiolytic-induced disorder (e.g., withdrawal, psychosis) is documented; instead, code to the more specific manifestation.
• Ensure documentation explicitly states "dependence" rather than just "abuse" or "use," as these have different code assignments.
• Sequence this code as a primary diagnosis when the dependence is the primary reason for the encounter, or as a secondary diagnosis when it's an co-occurring condition.