ICD-10 Coding for Alcohol Dependence in Remission(F10.21)
Complete ICD-10-CM coding and documentation guide for Alcohol Dependence in Remission. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Alcohol Dependence in Remission
F10.21-F10.29Primary Range
Mental and behavioral disorders due to use of alcohol
This range includes codes for alcohol dependence and its remission status.
Key Information: ICD-10 code for alcohol dependence in remission
Essential facts and insights about Alcohol Dependence in Remission
Primary ICD-10-CM Code for alcohol dependence in remission
Decision Criteria
documentation Criteria
- Provider must document 'in remission' explicitly.
clinical Criteria
- Patient must have a history of alcohol dependence with no current symptoms.
Applicable To
- Alcohol dependence in early remission
- Alcohol dependence in sustained remission
Clinical Validation Requirements
- Explicit documentation of 'in remission'
- Prior diagnosis of alcohol dependence
- Absence of current symptoms
Code-Specific Risks
- Incorrectly coding without explicit remission documentation
- Confusing remission with history
Coding Notes
- Ensure documentation specifies remission status and duration.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of opiate analgesic
Z79.891Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Alcohol Dependence in Remission to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F10.21.
Impact
Clinical: Misrepresentation of patient's current status., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Educate providers on documentation requirements, Use templates that prompt for remission status
Impact
Reimbursement: May lead to denied claims if remission is not documented., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Ensure provider documents 'in remission' status clearly.
Impact
Lack of explicit remission documentation can lead to audit findings.
Mitigation Strategy
Implement documentation templates that require remission status.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Alcohol Dependence in Remission, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Alcohol Dependence in Remission
Use these documentation templates to ensure complete and accurate documentation for Alcohol Dependence in Remission. These templates include all required elements for proper coding and billing.
Patient in sustained remission attending therapy
Specialty: PsychiatryRequired Elements
- Remission status
- Duration of sobriety
- Treatment methods
- Functional status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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