ICD-10 F13
Non-Billable HeaderSedative, hypnotic, or anxiolytic related disorders
About ICD-10-CM F13
ICD-10-CM code F13 represents Sedative, hypnotic, or anxiolytic related disorders. This is a non-billable header code in the Mental, Behavioral, and Neurodevelopmental chapter (block F13). The 2026 edition of ICD-10-CM F13 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for F13
Local Coverage Determinations (LCDs) from CMS MACs that list F13 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F13.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but F13 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with F13
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 90791 Psychiatric diagnostic interview for substance abuse Internal Medicine
Codes Adjacent To F13
Other codes in section F10-F19 (Mental and behavioral disorders due to psychoactive substance use).
ICD-10 F13, Billing FAQ
Is ICD-10 code F13 billable? +
No, F13 is a non-billable header code. Use a more specific child code from block F13 when submitting claims.
What CPT codes are commonly billed with F13? +
Procedures frequently paired with F13 include: 90791.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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