Back to HomeBeta

ICD-10 Coding for Alcohol Use Disorder in Remission(F10.11, F10.21, F10.91)

Complete ICD-10-CM coding and documentation guide for Alcohol Use Disorder in Remission. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

AUD in RemissionAlcohol Dependence in Remission

Related ICD-10 Code Ranges

Complete code families applicable to Alcohol Use Disorder in Remission

F10.1-F10.9Primary Range

Mental and behavioral disorders due to use of alcohol

This range includes codes for alcohol use disorders, including those in remission.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
F10.11Alcohol abuse, in remissionUse when the provider documents mild alcohol use disorder in remission with specified duration.
  • Provider documentation of 'alcohol abuse in remission'
  • Duration of remission specified
F10.21Alcohol dependence, in remissionUse when the provider documents moderate/severe alcohol use disorder in remission with specified duration.
  • Provider documentation of 'alcohol dependence in remission'
  • Duration of remission specified
F10.91Alcohol use, unspecified, in remissionUse when the provider documents alcohol use disorder in remission without specifying abuse or dependence.
  • Provider documentation of 'alcohol use in remission'

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for alcohol use disorder in remission

Essential facts and insights about Alcohol Use Disorder in Remission

The ICD-10 codes for alcohol use disorder in remission are F10.11, F10.21, and F10.91, depending on severity.

Primary ICD-10-CM Codes for alcohol use disorder in remission

Alcohol abuse, in remission
Billable Code

Decision Criteria

documentation Criteria

  • Explicit mention of 'in remission' and duration

Applicable To

  • Mild alcohol use disorder in remission

Excludes

Clinical Validation Requirements

  • Provider documentation of 'alcohol abuse in remission'
  • Duration of remission specified

Code-Specific Risks

  • Incorrectly coding as history of alcohol abuse

Coding Notes

  • Ensure 'in remission' is explicitly documented.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Alcohol abuse, uncomplicated

F10.10
Active abuse without remission status.

Alcohol dependence, uncomplicated

F10.20
Active dependence without remission status.

Alcohol use, unspecified

F10.90
Active use without remission status.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Alcohol Use Disorder in Remission to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F10.11.

Impact

Clinical: Misrepresentation of patient's current status., Regulatory: Non-compliance with ICD-10 guidelines., Financial: Potential for incorrect billing and reimbursement.

Mitigation Strategy

Educate providers on correct terminology, Implement documentation audits

Impact

Reimbursement: Incorrect DRG assignment leading to potential revenue loss., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and quality metrics.

Mitigation Strategy

Ensure documentation states 'in remission' rather than 'history of'.

Impact

Failure to document remission status can lead to audit findings.

Mitigation Strategy

Regular training and audits of documentation practices.

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 Use Disorder in Remission, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Alcohol Use Disorder in Remission

Use these documentation templates to ensure complete and accurate documentation for Alcohol Use Disorder in Remission. These templates include all required elements for proper coding and billing.

Patient with alcohol dependence in remission

Specialty: Psychiatry

Required Elements

  • Remission status
  • Duration of remission
  • Provider assessment

Example Documentation

Assessment: Alcohol dependence in sustained remission (24 months). Plan: Continue monitoring.

Examples: Poor vs. Good Documentation

Poor Documentation Example
History of alcohol dependence.
Good Documentation Example
Alcohol dependence in sustained remission (24 months).
Explanation
The good example specifies remission status and duration, meeting documentation requirements.

Need help with ICD-10 coding for Alcohol Use Disorder in Remission? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

We build tools for
clinician happiness.

Learn More at Freed.ai
Back to HomeBeta

Built by Freed

Try Freed for free for 7 days.

Learn more