ICD-10 F13.24
Billable / Specific HCC v28: 55Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced mood disorder
About ICD-10-CM F13.24
ICD-10-CM code F13.24 represents Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced mood disorder. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F13). The 2026 edition of ICD-10-CM F13.24 became effective on October 1, 2025.
Coding Tips for F13.24
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
F13.24 is a CMS-HCC v28 risk-adjustment code (category 55). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under F13.24. Per CMS ICD-10-CM Tabular 2026.
- Sedative, hypnotic, or anxiolytic use disorder, moderate, with sedative, hypnotic, or anxiolytic-induced bipolar or related disorder
- Sedative, hypnotic, or anxiolytic use disorder, moderate, with sedative, hypnotic, or anxiolytic-induced depressive disorder
- Sedative, hypnotic, or anxiolytic use disorder, severe, with sedative, hypnotic, or anxiolytic-induced bipolar or related disorder
- Sedative, hypnotic, or anxiolytic use disorder, severe, with sedative, hypnotic, or anxiolytic-induced depressive disorder
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for F13.24
Local Coverage Determinations (LCDs) from CMS MACs that list F13.24 as a covered diagnosis.
Showing top 10 of 357 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F13.24.
5 Medicare
CPT Codes Commonly Billed with F13.24
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 83018 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 82175 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 82108 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 84630 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 83015 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 84285 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 82495 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 82300 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 83655 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
- 83785 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
Convert F13.24 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| F13.24 | 29284 | 10111 |
| F13.24 | 30410 | 10112 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To F13.24
Other codes in section F10-F19 (Mental and behavioral disorders due to psychoactive substance use).
ICD-10 F13.24, Billing FAQ
Is ICD-10 code F13.24 billable? +
Yes, F13.24 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to F13.24? +
ICD-10 F13.24 includes: Sedative, hypnotic, or anxiolytic use disorder, moderate, with sedative, hypnotic, or anxiolytic-induced bipolar or related disorder; Sedative, hypnotic, or anxiolytic use disorder, moderate, with sedative, hypnotic, or anxiolytic-induced depressive disorder; Sedative, hypnotic, or anxiolytic use disorder, severe, with sedative, hypnotic, or anxiolytic-induced bipolar or related disorder, and 1 more clinical synonyms.
Does F13.24 affect Medicare Advantage HCC risk adjustment? +
Yes. F13.24 maps to CMS-HCC v28 category 55. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What CPT codes are commonly billed with F13.24? +
Procedures frequently paired with F13.24 include: 83018, 82175, 82108, 84630, 83015.
What ICD-9 codes does F13.24 map to? +
Per CMS GEMs, F13.24 maps to ICD-9 codes: 29284, 30410. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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