ICD-10 F13.988
Billable / Specific HCC v28: 55Sedative, hypnotic or anxiolytic use, unspecified with other sedative, hypnotic or anxiolytic-induced disorder
About ICD-10-CM F13.988
ICD-10-CM code F13.988 represents Sedative, hypnotic or anxiolytic use, unspecified with other sedative, hypnotic or anxiolytic-induced disorder. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F13). The 2026 edition of ICD-10-CM F13.988 became effective on October 1, 2025.
Coding Tips for F13.988
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
F13.988 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 F13.988. Per CMS ICD-10-CM Tabular 2026.
- Sedative, hypnotic, or anxiolytic-induced mild neurocognitive 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 F13.988
Local Coverage Determinations (LCDs) from CMS MACs that list F13.988 as a covered diagnosis.
Showing top 10 of 272 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F13.988.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with F13.988
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert F13.988 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 |
|---|---|---|
| F13.988 | 29289 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To F13.988
Other codes in section F10-F19 (Mental and behavioral disorders due to psychoactive substance use).
ICD-10 F13.988, Billing FAQ
Is ICD-10 code F13.988 billable? +
Yes, F13.988 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 F13.988? +
ICD-10 F13.988 includes: Sedative, hypnotic, or anxiolytic-induced mild neurocognitive disorder.
Does F13.988 affect Medicare Advantage HCC risk adjustment? +
Yes. F13.988 maps to CMS-HCC v28 category 55. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What ICD-9 codes does F13.988 map to? +
Per CMS GEMs, F13.988 maps to ICD-9 codes: 29289. 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 May 31, 2026.
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