what is the icd 9 code for benzodiazepine dependence

Full Answer

What is the ICD 10 code for benzodiazepine dependence?

The ICD code F132 is used to code Benzodiazepine dependence. Benzodiazepine dependence or benzodiazepine addiction is when one has developed one or more of either tolerance, withdrawal symptoms, drug seeking behaviors, such as continued use despite harmful effects, and maladaptive pattern of substance use, according to the DSM-IV.

What are the signs and symptoms of benzodiazepine dependence?

The signs and symptoms of benzodiazepine dependence include feeling unable to cope without the drug, unsuccessful attempts to cut down or stop benzodiazepine use, tolerance to the effects of benzodiazepines, and withdrawal symptoms when not taking the drug.

What is the ICD 10 code for sedative dependence?

Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis. F13.20 is a billable ICD code used to specify a diagnosis of sedative, hypnotic or anxiolytic dependence, uncomplicated. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

How is benzodiazepine substance use disorder diagnosed?

Benzodiazepine substance use disorder can be diagnosed using DSM-5 criteria,9but the Severity Dependence Scale is a simple screening tool validated for use in the community.10Some patients prescribed benzodiazepines may have aberrant drug-related behaviours, ranging from double dosing to selling medicines illicitly or injecting them.

What is the diagnosis code for benzodiazepine dependence?

ICD-10-CM Code for Sedative, hypnotic or anxiolytic dependence, uncomplicated F13. 20.

What is the ICD 10 code for long term use of benzodiazepines?

83.

What is F13 20?

F13. 20 Sedative, hypnotic or anxiolytic dependence, uncomplicated - ICD-10-CM Diagnosis Codes.

What is the ICD 9 code for suicidal ideation?

ICD-9-CM Diagnosis Code V62. 84 : Suicidal ideation.

What is anxiolytic dependence?

Sedative, hypnotics, or anxiolytic dependence causes withdrawal symptoms, which makes it difficult to stop taking them, consequently developing an addiction. Commonly abused sedatives, hypnotics, or anxiolytics include valium, Ativan, Ambien, sleep aids, barbiturates, etc.

What is the ICD-10 code for long term drug use?

ICD-10 code Z79. 899 for Other long term (current) drug therapy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What classification is benzodiazepine?

Benzodiazepines are controlled in schedule IV under the Controlled Substances Act. Flunitrazepam is unique among the benzodiazepines in being placed in schedule IV but having schedule I penalties. Benzodiazepines are widely prescribed drugs.

What is the ICD-10 code for sedative hypnotic or anxiolytic dependence?

F13. 20 - Sedative, hypnotic or anxiolytic dependence, uncomplicated | ICD-10-CM.

What is considered long term benzo use?

For purposes of the study, long-term benzodiazepine use was defined as a medication possession ratio (MPR) greater than 30% in the year following the initial prescription, and 26.4% of the patients were identified as falling into that category.

What is the difference between suicidal ideation and suicidal intent?

Suicidal ideation is any self-reported thoughts of engaging in suicide-related behavior. Subtypes of suicide-related ideations depend on the presence or absence of suicidal intent. To have suicidal intent is to have suicide or deliberate self-killing as one's purpose.

What is the ICD-10 code for altered mental status?

R41. 82 Altered mental status, unspecified - ICD-10-CM Diagnosis Codes.

What is the ICD-9 code for anxiety?

Its corresponding ICD-9 code is 300. Code F41. 9 is the diagnosis code used for Anxiety Disorder, Unspecified. It is a category of psychiatric disorders which are characterized by anxious feelings or fear often accompanied by physical symptoms associated with anxiety.

What is benzodiazepine addiction?

Addiction Medicine. Benzodiazepine dependence defines a situation in which one has developed one or more of either tolerance, withdrawal symptoms, drug seeking behaviors, such as continued use despite harmful effects, and maladaptive pattern of substance use, according to the DSM-IV.

How do you know if you are dependent on benzodiazepines?

The signs and symptoms of benzodiazepine dependence include feeling unable to cope without the drug, unsuccessful attempts to cut down or stop benzodiazepine use, tolerance to the effects of benzodiazepines, and withdrawal symptoms when not taking the drug. Some withdrawal symptoms that may appear include anxiety, depressed mood, depersonalisation, derealisation, sleep disturbance, hypersensitivity to touch and pain, tremor, shakiness, muscular aches, pains, twitches, and headache. Benzodiazepine dependence and withdrawal have been associated with suicide and self-harming behaviors, especially in young people. The Department of Health substance misuse guidelines recommend monitoring for mood disorder in those dependent on or withdrawing from benzodiazepines.

Why are benzodiazepines decreasing?

Numbers of benzodiazepine prescriptions have been declining, due primarily to concerns of dependence. In the short term, benzodiazepines can be effective drugs for acute anxiety or insomnia. With longer-term use, other therapies, both pharmacological and psychotherapeutic, become more effective.

How long does it take for a benzodiazepines to become addictive?

Benzodiazepines are regarded as a highly addictive drug class. A psychological and physical dependence can develop in as short as a few weeks but may take years to develop in other individuals. Patients wanting to withdraw from benzodiazepines typically receive little advice or support, and such withdrawal should be by small increments over a period of months.

How long does it take for a benzodiazepine to be diagnosed?

For a diagnosis of benzodiazepine dependence to be made, the ICD-10 requires that at least 3 of the below criteria are met and that they have been present for at least a month, or, if less than a month, that they appeared repeatedly during a 12-month period.

How long does it take for a glutamergic reaction to occur after benzodiazepine withdrawal?

Animal studies have found that glutamergic changes as a result of benzodiazepine use are responsible for a delayed withdrawal syndrome, which in mice peaks 3 days after cessation of benzodiazepines. This was demonstrated by the ability to avoid the withdrawal syndrome by the administration of AMPA antagonists.

What receptors are involved in withdrawal syndrome?

It is believed that different glutamate subreceptors, e.g., NMDA and AMPA, are responsible for different stages/time points of the withdrawal syndrome. NMDA receptors are upregulated in the brain as a result of benzodiazepine tolerance. AMPA receptors are also involved in benzodiazepine tolerance and withdrawal.

What are the problems with benzodiazepine?

Benzodiazepine-related problems include diversion, misuse, dependency, driving impairment, and morbidity and mortality related to overdose and withdrawal. In older patients they have been associated with cognitive decline, dementia3and falls.4,5There is evidence of increased mortality with long-term use.6.

How long does it take to get off benzodiazepine?

Prevention. Any patient who has taken a benzodiazepine for longer than 3–4 weeks is likely to have withdrawal symptoms if the drug is ceased abruptly.

How long does it take to taper diazepam?

In general, at higher doses (e.g. greater than 10 mg diazepam equivalents per day) the dose may be tapered more rapidly. Once the patient achieves 10 mg the dose should be tapered more slowly (e.g. 5 mg twice daily for two weeks, then once daily for two weeks, and then 2 mg daily for two weeks and then cease).

What are the two approaches to the management of dependence?

If the patient is ready for change, there are two approaches to the management of dependence: benzodiazepine withdrawal with the aim of abstinence. benzodiazepine maintenance therapy.

What are the long term effects of benzodiazepines?

There are well-recognised harms from long-term use of benzodiazepines. These include dependency, cognitive decline and falls. It is important to prevent and recognise benzodiazepine dependence. A thorough risk assessment guides optimal management and the necessity for referral.

Can you switch to benzodiazepine for elderly?

Unless the patient is elderly, it is helpful to switch to a long-acting benzodiazepine in both withdrawal and maintenance therapy. The dose should be gradually reduced over weeks to lower the risk of seizures. Harms from drugs such as zopiclone and zolpidem are less well characterised.

Can benzodiazepines cause withdrawal symptoms?

Because of tolerance and withdrawal symptoms, long- term use of benzodiazepines can lead to dose escalation and worsening of the underlying condition.

What is the ICd code for benzodiazepine?

The ICD code F132 is used to code Benzodiazepine dependence. Benzodiazepine dependence or benzodiazepine addiction is when one has developed one or more of either tolerance, withdrawal symptoms, drug seeking behaviors, such as continued use despite harmful effects, and maladaptive pattern of substance use, according to the DSM-IV. ...

What is the ICD code for hypnotic dependence?

ICD Code F13.2 is a non-billable code. To code a diagnosis of this type, you must use one of the ten child codes of F13.2 that describes the diagnosis 'sedative, hypnotic or anxiolytic-related dependence' in more detail.

What is the ICD code for acute care?

Use a child code to capture more detail. ICD Code F13.2 is a non-billable code.

What is the best medication for anxiety?

Medical uses. Alprazolam is mostly used in short term management of anxiety disorders, panic disorders, and nausea due to chemotherapy. Alprazolam may also be indicated for the treatment of generalized anxiety disorder, as well as for the treatment of anxiety conditions with co-morbid depression.

How is alprazolam metabolized?

Alprazolam is metabolized into 4-hydroxyalprazolam (top) and α-hydroxyalprazolam (bottom). Alprazolam is taken orally, and is absorbed well – 80% of alprazolam binds to proteins in the serum (the majority binding to albumin ). The concentration of alprazolam peaks after one to two hours.

How long does alprazolam last?

Clinical studies have shown that the effectiveness is limited to 4 months for anxiety disorders. However, the research into antidepressant properties of alprazolam is poor and has only assessed its short-term effects against depression. In one study, some long term, high-dosage users of alprazolam developed reversible depression.

Can you take alprazolam with ethanol?

Alprazolam may also be used with other depressant drugs, such as ethanol, heroin , and other opioids, in an attempt to enhance their psychological effects. Alprazolam may be used in conjunction with cannabis, with users citing a synergistic effect achieved after consuming the combination.

Is alprazolam a triazole?

Alprazolam is a triazole and benzodiazepine derivative substitut ed with a phenyl group at position 6, with a chlorine atom at position 8 and with a methyl group at position 1. It is an analogue of triazolam, the difference between them being the absence of a chlorine atom in the 'ortho' position of the phenyl ring. It is slightly soluble in chloroform, soluble in alcohol, slightly soluble in acetone and insoluble in water. It has a melting point in the temperature range 228 - 229.5 °C.

Can alprazolam cause withdrawal symptoms?

Alprazolam and other benzodiazepines may also cause the development of physical dependence, tolerance, and benzodiazepine withdrawal symptoms during rapid dose reduction or cessation of therapy after long-term treatment.

Can alprazolam cause fetal withdrawal?

The use of alprazolam during pregnancy is associated with congenital abnormalities, and use in the last trimester may cause fetal drug dependence and withdrawal symptoms in the post-natal period as well as neonatal flaccidity and respiratory problems.

Overview

Benzodiazepine dependence defines a situation in which one has developed one or more of either tolerance, withdrawal symptoms, drug seeking behaviors, such as continued use despite harmful effects, and maladaptive pattern of substance use, according to the DSM-IV. In the case of benzodiazepine dependence, however, the continued use seems to be associated with the avoidance of unpleasant withdrawal reaction rather than from the pleasurable effects of the dru…

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