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ICD-10 Coding for ETOH Use Disorder(F10.10, F10.20, F10.231)

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

Also known as:

Alcohol Use DisorderAlcoholismAlcohol Dependence

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Related ICD-10 Code Ranges

Complete code families applicable to ETOH Use Disorder

F10.1-F10.9Primary Range

Mental and behavioral disorders due to use of alcohol

This range includes codes for alcohol use, abuse, and dependence, which are central to diagnosing ETOH use disorder.

K70.0-K70.9

Alcoholic liver disease

These codes are used for complications of alcohol use disorder, such as liver disease.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
F10.10Alcohol abuse, uncomplicatedUse when alcohol abuse is documented without dependence.
  • Documented pattern of alcohol use causing harm or distress
F10.20Alcohol dependence, uncomplicatedUse when alcohol dependence is documented without complications.
  • Evidence of tolerance or withdrawal symptoms
F10.231Alcohol dependence with withdrawal deliriumUse when withdrawal delirium is present in a dependent patient.
  • Documented withdrawal symptoms with delirium

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 ETOH use disorder

Essential facts and insights about ETOH Use Disorder

The ICD-10 code for ETOH use disorder includes F10.10 for alcohol abuse and F10.20 for alcohol dependence.

Primary ICD-10-CM Codes for etoh use disorder

F10.10
Alcohol abuse, uncomplicated
Billable Code

Decision Criteria

clinical Criteria

  • Documented harmful use of alcohol without dependence

Applicable To

  • Alcohol abuse without dependence

Excludes

Clinical Validation Requirements

  • Documented pattern of alcohol use causing harm or distress

Code-Specific Risks

  • Misclassification if dependence is present

Coding Notes

  • Ensure documentation specifies 'abuse' rather than 'use' or 'dependence'.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Alcohol abuse counseling and surveillance of alcoholic

Z71.41
Use when counseling is provided for alcohol abuse.

Alcohol rehabilitation

Z50.2
Use when patient is undergoing rehabilitation for alcohol dependence.

Alcoholic hepatitis

K70.1
Use when alcoholic hepatitis is a complication of dependence.

Differential Codes

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

Alcohol dependence, uncomplicated

F10.20
Presence of tolerance or withdrawal symptoms indicates dependence.

Alcohol abuse, uncomplicated

F10.10
Absence of tolerance or withdrawal symptoms indicates abuse.

Alcohol intoxication delirium

F10.129
Intoxication delirium occurs during acute intoxication, not withdrawal.

Documentation & Coding Risks

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

Impact

Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.

Mitigation Strategy

Use specific terms like 'dependence' or 'abuse'., Document symptoms and history clearly.

Impact

Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of health records.

Mitigation Strategy

Always document and code the specific type of alcohol use disorder.

Impact

Lack of specificity can lead to audit findings.

Mitigation Strategy

Ensure detailed documentation of alcohol use patterns and symptoms.

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

Documentation Templates for ETOH Use Disorder

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

Patient with alcohol dependence and withdrawal

Specialty: Addiction Medicine

Required Elements

  • Subjective: Patient's report of alcohol use
  • Objective: Physical exam findings
  • Assessment: Diagnosis of dependence
  • Plan: Treatment plan including medications

Example Documentation

Subjective: Patient reports drinking 1L vodka daily. Objective: Tremors, elevated AST/ALT. Assessment: Alcohol dependence with withdrawal. Plan: Detox protocol, referral to addiction specialist.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient drinks heavily.
Good Documentation Example
Patient reports daily consumption of 1L vodka, experiences tremors and anxiety when not drinking.
Explanation
The good example provides specific details necessary for accurate coding.

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

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