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2025 ICD-10-CM code F10.230

Alcohol dependence with uncomplicated withdrawal.

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

Medical necessity is established by the presence of clinically significant alcohol dependence and the development of uncomplicated withdrawal symptoms. This necessitates medical intervention for the safe and effective management of withdrawal symptoms to prevent complications.

The clinical responsibility includes a comprehensive assessment of the patient's alcohol use history, physical and psychological examination, diagnosis of alcohol dependence with uncomplicated withdrawal, development of a treatment plan, and ongoing monitoring of the patient's progress. This may involve collaboration with other healthcare professionals such as counselors, therapists, and potentially specialists in addiction medicine.

IMPORTANT:Excludes: Alcohol dependence with intoxication (F10.22-), alcohol abuse (F10.1-), alcohol use, unspecified (F10.9-), toxic effect of alcohol (T51.0-).

In simple words: This code describes someone who is addicted to alcohol and experiences physical and mental symptoms when they stop drinking, but without severe confusion or hallucinations.Doctors diagnose this based on the person's history, symptoms, and behavior. Treatment can include therapy, counseling, and medication.

This code signifies alcohol dependence characterized by the inability to cease alcohol consumption due to tolerance and experiencing physical and/or mental withdrawal symptoms upon cessation, excluding delirium or perceptual disturbances.The diagnosis is based on patient history, symptoms, behavioral assessment, and physical examination, potentially including blood tests for alcohol and thiamine levels. Treatment may involve behavioral therapy, counseling, medication (disulfiram, naltrexone, acamprosate, antidepressants, anxiolytics, or antipsychotics), and thiamine supplementation if deficient.

Example 1: A 45-year-old male presents with tremors, sweating, and anxiety after attempting to stop drinking alcohol for a week. He denies hallucinations or severe confusion.He has a history of heavy alcohol use for over 15 years., A 30-year-old female is admitted to the hospital due to severe alcohol withdrawal symptoms, including seizures.She reports a long history of alcohol dependence and has recently attempted to quit drinking multiple times., A 60-year-old male patient reports experiencing insomnia, irritability, and nausea after reducing his alcohol consumption.He exhibits mild tremors, but no hallucinations or severe cognitive impairment.

Detailed patient history including duration and quantity of alcohol use, previous withdrawal experiences, current symptoms, physical examination findings, laboratory results (blood alcohol levels, thiamine levels), and treatment plan.

** This code specifically excludes cases with delirium tremens or other severe complications of alcohol withdrawal.The severity of symptoms can vary greatly and inform the level of care required, from outpatient management to inpatient detoxification.

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