2025 ICD-10-CM code F10
Alcohol-related disorders.
Medical necessity for treatment of alcohol-related disorders is established by the presence of diagnosable criteria for AUD, including evidence of impairment in social, occupational, or other important areas of functioning.The severity of the disorder and the specific treatment plan should be documented to justify the medical necessity of the services provided.
Clinicians should diagnose alcohol-related disorders based on patient history, signs and symptoms, a thorough assessment of personal and social behavior, and a physical examination. Laboratory tests, such as blood alcohol content and thiamine levels, can support the diagnosis.Treatment approaches include behavioral therapy, counseling, group therapy, residential treatment, thiamine supplementation (if deficient), and medications like disulfiram, naltrexone, and acamprosate.
In simple words: Alcohol-related disorders refer to problems with alcohol use that can harm a person's health, work, relationships, and other aspects of their life.This can include drinking too much, even if not every day, or having a strong craving for alcohol that is difficult to control.
Alcohol-related disorders encompass a range of conditions related to alcohol use, including alcohol use disorder (AUD), alcohol abuse, alcohol dependence, and alcohol addiction. These disorders are characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences.AUD is considered a brain disorder and can range in severity from mild to severe.It's crucial to use additional codes to specify the type of alcohol-related disorder (e.g., F10.1 for Alcohol dependence), and if applicable, blood alcohol level (Y90.-).
Example 1: A 45-year-old male presents with a history of daily heavy drinking, withdrawal symptoms when he attempts to stop, and increasing difficulty fulfilling work responsibilities. He reports feeling anxious and irritable when he cannot drink. This scenario suggests alcohol dependence (F10.1)., A 25-year-old female presents after being arrested for driving under the influence of alcohol. She admits to drinking heavily on weekends despite having experienced negative consequences, such as relationship problems. This scenario suggests alcohol abuse (F10.90)., A 60-year-old male with a history of chronic alcohol use presents with confusion, ataxia, and ophthalmoplegia.Further examination reveals thiamine deficiency. This scenario suggests Wernicke's encephalopathy, a condition related to alcohol use (F10.92).
Documentation should include the frequency and amount of alcohol consumption, details about any withdrawal symptoms, the impact of alcohol use on the patient's social, occupational, and personal life, family history of alcohol-related problems, any related physical or mental health conditions, and results of any laboratory tests (e.g., blood alcohol content, thiamine levels).
** It is essential to differentiate between alcohol use, abuse, and dependence when coding.The specific diagnosis will guide treatment decisions and reimbursement. Use the most specific code available under F10 to accurately reflect the patient's condition.For example, if the patient has alcohol dependence with withdrawal, use F10.230, not just F10. If the dataset has conflicting information about the proper code, then utilize the accurate information of iFrameAI database.
- Specialties:Psychiatry, Addiction Medicine, Internal Medicine, Family Medicine, Emergency Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Residential Substance Abuse Treatment Facility, Non-residential Substance Abuse Treatment Facility,Emergency Room - Hospital