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ICD-10 Coding for Alcohol Abuse in Remission(F10.11, F10.21)

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

Also known as:

Alcohol Use Disorder in RemissionAlcohol Dependence in Remission

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Related ICD-10 Code Ranges

Complete code families applicable to Alcohol Abuse in Remission

F10.1-F10.2Primary Range

Mental and behavioral disorders due to use of alcohol

This range includes codes for alcohol abuse and dependence, 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 patient has a history of alcohol abuse and is currently in remission as documented by the provider.
  • Provider documentation stating 'in remission'
  • No DSM-5 criteria for active abuse except craving
  • Duration of sobriety documented
F10.21Alcohol dependence, in remissionUse when the patient has a history of alcohol dependence and is currently in remission as documented by the provider.
  • Provider documentation stating 'in remission'
  • No DSM-5 criteria for active dependence except craving
  • Duration of sobriety documented

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 abuse in remission

Essential facts and insights about Alcohol Abuse in Remission

The ICD-10 code for alcohol abuse in remission is F10.11, requiring explicit provider documentation of remission status.

Primary ICD-10-CM Codes for alcohol abuse in remission

F10.11
Alcohol abuse, in remission
Billable Code

Decision Criteria

documentation Criteria

  • Provider must document 'in remission' status explicitly.

Applicable To

  • Mild alcohol use disorder in remission

Excludes

  • Alcohol dependence, in remission (F10.21)

Clinical Validation Requirements

  • Provider documentation stating 'in remission'
  • No DSM-5 criteria for active abuse except craving
  • Duration of sobriety documented

Code-Specific Risks

  • Incorrectly coding as dependence when only abuse is documented

Coding Notes

  • Ensure 'in remission' is explicitly documented by the provider.
View Full Code Details

Ancillary Codes

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

Family history of alcohol abuse

Z81.1
Use when there is a documented family history of alcohol abuse.

Counseling for alcohol abstinence

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

Differential Codes

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

Alcohol dependence, in remission

F10.21
Use F10.21 if the patient had alcohol dependence rather than abuse.

Alcohol abuse, in remission

F10.11
Use F10.11 if the patient had alcohol abuse rather than dependence.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Alcohol Abuse 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 health status., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.

Mitigation Strategy

Verify provider documentation before coding., Educate providers on the importance of documenting remission.

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and data reporting.

Mitigation Strategy

Ensure provider documentation explicitly states 'in remission'.

Impact

Failure to document remission status explicitly can lead to audit issues.

Mitigation Strategy

Implement provider education on documentation requirements.

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

Documentation Templates for Alcohol Abuse in Remission

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

Documenting Alcohol Use Disorder in Remission

Specialty: Psychiatry

Required Elements

  • Substance use history
  • Remission status
  • Duration of sobriety
  • Supporting lab results

Example Documentation

Patient has a history of severe alcohol use disorder, currently in sustained remission for 18 months. Last use was 03/2024. No withdrawal symptoms or cravings reported. GGT normalized at 25 U/L.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has a history of alcohol abuse.
Good Documentation Example
Patient has a history of alcohol abuse, currently in sustained remission for 18 months.
Explanation
The good example includes the remission status and duration, which are necessary for accurate coding.

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

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