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2025 ICD-10-CM code F10.129

Alcohol abuse with intoxication, unspecified.

Use additional code for blood alcohol level, if applicable (Y90.-).

The medical necessity for this code is established by the presence of both alcohol abuse and a current state of intoxication, even if the level of intoxication is not specified. The documentation should support the diagnosis of alcohol abuse and the current intoxication.

Diagnosis of alcohol abuse with intoxication involves assessing the patient's history, signs and symptoms, social behavior, and conducting a physical exam. Laboratory tests may include checking blood alcohol and thiamine levels. Treatment can involve behavioral therapy, counseling, group therapy, residential treatment, thiamine supplementation, and medications like disulfiram, naltrexone, or acamprosate.

In simple words: This code is used when someone is abusing alcohol and is currently intoxicated, but the doctor hasn't specified how intoxicated they are.

Alcohol abuse with intoxication, unspecified. This code signifies a harmful pattern of alcohol use along with a current episode of intoxication.The specific level of intoxication is not documented.

Example 1: A 35-year-old male presents to the ED with slurred speech, unsteady gait, and a strong odor of alcohol. He admits to drinking heavily throughout the day. He has a history of alcohol abuse but denies any other drug use. He is currently intoxicated, but the level of intoxication is not specified. The physician documents F10.129., A 45-year-old female is brought to the hospital by her family due to concerns about her alcohol consumption. She has been drinking excessively for several weeks and has been neglecting her responsibilities at home and work. She exhibits signs of intoxication, but the precise level is not documented. Her family reports a history of alcohol abuse.The physician diagnoses her with F10.129., A 60-year-old male is admitted to the hospital for pancreatitis. He has a long history of alcohol abuse. Upon admission, he exhibits signs of alcohol intoxication, although the specific blood alcohol content is not measured. Given his history of abuse and current intoxication, F10.129 is used in addition to the code for pancreatitis.

Documentation should include evidence of alcohol abuse (e.g., pattern of excessive drinking, negative impact on social or occupational functioning), and signs/symptoms of intoxication (e.g., slurred speech, incoordination, impaired judgment). Blood alcohol levels, if available, should also be documented, though they are not required for this specific code. Documenting the patient's history, physical exam findings, and any social or behavioral issues related to alcohol use is crucial.

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