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2025 ICD-10-CM code F10.92

Unspecified alcohol use with intoxication. This condition involves excessive alcohol consumption leading to physical and mental abnormalities due to intoxication, without documented abuse or dependence.

Use additional code for blood alcohol level, if applicable (Y90.-).Do not use codes from F10.1-F10.2 if there is evidence of alcohol abuse or dependence.

Medical necessity for this code usually relates to the need for acute management of intoxication.This may include monitoring vital signs, ensuring safety, and providing supportive care until the individual is sober.

Clinicians diagnose this condition by considering the patient’s history, observed signs and symptoms, a detailed inquiry into their personal and social behavior, and a physical examination. Laboratory studies, including blood tests for alcohol and thiamine levels, may also be conducted. Treatment focuses on addressing the immediate effects of intoxication and may involve behavioral therapy, counseling, group therapy, and thiamine supplementation if deficiency is detected. Clinicians also educate patients about the risks of alcohol consumption and provide guidance on safer drinking habits.

In simple words: This code describes being drunk from drinking too much alcohol, but without any signs of long-term alcohol problems. It's important to remember that excessive drinking can be harmful, even if it doesn't happen regularly.

Unspecified alcohol use with intoxication refers to a state where an individual consumes an excessive amount of alcohol, resulting in a state of drunkenness characterized by impaired physical and mental function.The diagnosis specifies that while the individual is intoxicated, there is no evidence or documentation of alcohol abuse or dependence. Harmful alcohol consumption is defined as more than 14 drinks per week or 4 drinks per occasion for men, and more than 7 drinks per week or 3 drinks per occasion for women and those over 65.Symptoms may include memory loss, poor coordination, anxiety, depression, and behavioral problems.Intoxication is generally characterized by loss of inhibitions and judgment, with a blood alcohol concentration of 100 mg/dL often used as a laboratory indicator. Other signs include euphoria, slurred speech, and a staggering gait.Alcohol intoxication can also induce psychotic disorders with delusions and hallucinations, and increase the risk of dangerous behaviors like driving under the influence, violence, and suicide. Diagnosis is based on patient history, signs and symptoms, social behavior assessment, and physical examination, along with blood tests for alcohol and thiamine levels. Treatment can include behavioral therapy, counseling, group therapy, and thiamine supplementation.

Example 1: A 25-year-old male presents to the emergency department with slurred speech, ataxia, and confusion after a party. His blood alcohol level is elevated. He has no history of alcohol dependence. This scenario is consistent with F10.92., A 40-year-old female is brought in by police for public intoxication. She is disoriented and agitated. She denies any regular alcohol use. The code F10.92 is applicable., A college student is brought to the health center by friends after excessive drinking at a party.The student exhibits signs of intoxication, but has no prior history of alcohol-related problems.F10.92 accurately describes this single episode of intoxication.

Documentation should include evidence of alcohol intoxication such as: elevated blood alcohol concentration, impaired coordination, slurred speech, and altered mental status.It should also clearly state that there is no history of alcohol abuse or dependence.

** It is important to distinguish F10.92 from alcohol abuse and dependence. The criteria for abuse and dependence involve patterns of use and impairment over time, while this code reflects a single episode of intoxication without any such pattern.

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