2025 ICD-10-CM code F10.182
Alcohol abuse with alcohol-induced sleep disorder. This condition involves excessive alcohol use that negatively impacts sleep, health, and social life.
Medical necessity for treatment is established by demonstrating the negative impact of alcohol abuse and alcohol-induced sleep disorder on the patient's physical and mental health. This may include impaired functioning at work, school, or in social settings, as well as any associated health problems resulting from alcohol use.
Diagnosis is typically made based on patient history, signs and symptoms, a thorough assessment of personal and social behavior, and a physical examination. Laboratory tests may include blood alcohol level and thiamine level assessments. Treatment approaches often involve behavioral therapy, counseling, group therapy, residential treatment programs, thiamine supplementation (if deficiency is detected), and medications such as disulfiram, naltrexone, and acamprosate.
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
- Mental and behavioral disorders due to psychoactive substance use (F10-F19)
In simple words: This code describes a situation where someone is drinking too much alcohol, and it's causing problems with their sleep. This excessive drinking also affects their health, work, relationships, and overall well-being.
Alcohol abuse with alcohol-induced sleep disorder refers to a pattern of excessive alcohol consumption that leads to disrupted sleep patterns, jeopardizes an individual's health, and negatively affects their work, school, family, and social life. Individuals often neglect their obligations and struggle to meet commitments.Harmful alcohol consumption is generally 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 individuals over 65.While alcohol can initially have a sedative effect, chronic abuse disrupts sleep architecture, leading to difficulties falling asleep, staying asleep, and experiencing restful sleep. This can result in daytime fatigue and drowsiness, impacting daily activities.Additional symptoms of alcohol abuse may include memory loss, poor coordination, anxiety, excessive worry, depression, and other behavioral problems.Alcohol abuse can also contribute to or exacerbate other health conditions like liver cirrhosis, kidney cancer, pancreatitis, and cardiovascular and gastrointestinal disorders.
Example 1: A 45-year-old male presents with complaints of insomnia and daytime fatigue. Upon further evaluation, he admits to drinking heavily most nights to fall asleep. He reports difficulty staying asleep and often wakes up early in the morning feeling unrested. His alcohol use is also affecting his job performance., A 60-year-old female is admitted to the hospital for pancreatitis. During her stay, she experiences withdrawal symptoms, including insomnia and anxiety.It is discovered that she has a long history of alcohol abuse, and her sleep disturbances are attributed to alcohol withdrawal., A 25-year-old college student seeks help for anxiety and depression.She reports using alcohol frequently to cope with stress, but her alcohol use has begun to negatively affect her sleep, leading to increased daytime fatigue and difficulty concentrating in class.
Documentation should include evidence of alcohol abuse (frequency, quantity, duration), details about the sleep disturbance (difficulty falling asleep, staying asleep, early awakenings, non-restorative sleep), and the impact of alcohol use on the patient's overall health, social life, and daily functioning. Any other physical or mental health conditions related to or exacerbated by alcohol abuse should also be documented.
- Specialties:Addiction Medicine, Psychiatry, Primary Care, Sleep Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Residential Substance Abuse Treatment Facility