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ICD-10 Coding for Alcohol Abuse Withdrawal(F10.130, F10.131, F10.239)

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

Also known as:

Alcohol Withdrawal SyndromeAlcohol Withdrawal

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Related ICD-10 Code Ranges

Complete code families applicable to Alcohol Abuse Withdrawal

F10.1-F10.2Primary Range

Mental and behavioral disorders due to use of alcohol

This range includes codes for alcohol abuse and dependence, with specific codes for withdrawal symptoms.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
F10.130Alcohol abuse with withdrawal, uncomplicatedUse when alcohol abuse is documented with uncomplicated withdrawal symptoms.
  • CIWA-Ar score <8
  • No history of seizures or delirium tremens
F10.131Alcohol abuse with withdrawal, deliriumUse when alcohol abuse is documented with withdrawal delirium.
  • CIWA-Ar score ≥15
  • Documented delirium symptoms
F10.239Alcohol dependence with withdrawal, unspecifiedUse when dependence is confirmed and withdrawal symptoms are present.
  • Provider confirmation of dependence
  • Withdrawal symptoms 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 with withdrawal

Essential facts and insights about Alcohol Abuse Withdrawal

The ICD-10 code for alcohol abuse with uncomplicated withdrawal is F10.130. For withdrawal with delirium, use F10.131.

Primary ICD-10-CM Codes for alcohol abuse withdrawal

F10.130
Alcohol abuse with withdrawal, uncomplicated
Billable Code

Decision Criteria

clinical Criteria

  • CIWA-Ar score <8 with no severe symptoms

Applicable To

  • Alcohol abuse with tremor
  • Alcohol abuse with anxiety

Excludes

  • Alcohol dependence with withdrawal (F10.239)

Clinical Validation Requirements

  • CIWA-Ar score <8
  • No history of seizures or delirium tremens

Code-Specific Risks

  • Incorrectly coding as dependence without provider confirmation

Coding Notes

  • Query provider if documentation is unclear whether it's abuse or dependence.
View Full Code Details

Differential Codes

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

Alcohol dependence with withdrawal

F10.239
Use when dependence is confirmed by provider, not just abuse.

Alcohol dependence with withdrawal delirium

F10.231
Use when dependence is confirmed and delirium is present.

Alcohol abuse with withdrawal, uncomplicated

F10.130
Use when only abuse is documented, not dependence.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Alcohol Abuse Withdrawal to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F10.130.

Impact

Clinical: Leads to inadequate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.

Mitigation Strategy

Ensure detailed symptom documentation., Use structured templates for consistency.

Impact

Reimbursement: Incorrect coding may lead to lower reimbursement rates., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate data affecting patient records and statistics.

Mitigation Strategy

Query the provider to confirm if the condition meets criteria for dependence.

Impact

Failure to sequence withdrawal as the primary diagnosis when it is the focus of treatment.

Mitigation Strategy

Educate coders on proper sequencing rules and provide decision support tools.

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 Withdrawal, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Alcohol Abuse Withdrawal

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

Emergency Department Presentation

Specialty: Emergency Medicine

Required Elements

  • Substance use history
  • CIWA-Ar score
  • Vital signs
  • Withdrawal symptoms

Example Documentation

Patient with alcohol abuse disorder presents with tremor and anxiety, CIWA-Ar score 6, last drink 14 hours ago.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient withdrawing from alcohol.
Good Documentation Example
55F with 20yr history of 6 beers/day, last drink 20hr ago. CIWA-Ar=12 (nausea=2, tremor=4, agitation=3). Prior withdrawal in 2023 without seizures.
Explanation
The good example provides specific details about the patient's history, symptoms, and assessment scores, supporting accurate coding.

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

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