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ICD-10 Coding for Alcohol Dependence with Withdrawal(F10.230, F10.231, F10.232)

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

Also known as:

Alcohol Withdrawal SyndromeAlcohol Withdrawal DeliriumDelirium Tremens

Related ICD-10 Code Ranges

Complete code families applicable to Alcohol Dependence with Withdrawal

F10.230-F10.239Primary Range

Alcohol dependence with withdrawal

This range covers all variations of alcohol dependence with withdrawal, including uncomplicated, with delirium, and with perceptual disturbances.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
F10.230Alcohol dependence with withdrawal, uncomplicatedUse when withdrawal symptoms are present without complications like delirium or hallucinations.
  • CIWA-Ar score 8–15
  • Symptoms like tremors, anxiety, nausea
F10.231Alcohol dependence with withdrawal deliriumUse when delirium tremens is present.
  • CIWA-Ar score >15
  • Symptoms like hallucinations, disorientation, autonomic instability
F10.232Alcohol dependence with withdrawal with perceptual disturbanceUse when hallucinations are present without delirium.
  • Presence of hallucinations without 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 alcohol dependence with withdrawal

Essential facts and insights about Alcohol Dependence with Withdrawal

The ICD-10 code for alcohol dependence with withdrawal is F10.230 for uncomplicated cases, F10.231 for delirium, and F10.232 for perceptual disturbances.

Primary ICD-10-CM Codes for alcohol dependence with withdrawal

Alcohol dependence with withdrawal, uncomplicated
Billable Code

Decision Criteria

clinical Criteria

  • Mild to moderate withdrawal symptoms without complications

Applicable To

  • Mild to moderate withdrawal symptoms such as tremors, anxiety, and nausea

Excludes

  • Alcohol withdrawal delirium (F10.231)
  • Alcohol withdrawal with perceptual disturbance (F10.232)

Clinical Validation Requirements

  • CIWA-Ar score 8–15
  • Symptoms like tremors, anxiety, nausea

Code-Specific Risks

  • Misclassification if complications are present but not documented

Coding Notes

  • Ensure documentation specifies the absence of complications.

Ancillary Codes

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

Unspecified convulsions

R56.9
Use if seizures occur without explicit linkage to withdrawal.

Blood alcohol level documentation

Y90.0-Y90.9
Document blood alcohol levels to support diagnosis.

Differential Codes

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

Alcohol dependence with withdrawal delirium

F10.231
Presence of delirium symptoms such as hallucinations and disorientation.

Alcohol dependence with withdrawal with perceptual disturbance

F10.232
Presence of hallucinations without delirium.

Alcohol dependence with withdrawal, uncomplicated

F10.230
Absence of delirium symptoms.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Alcohol Dependence with Withdrawal to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F10.230.

Impact

Clinical: Inaccurate representation of patient's condition., Regulatory: Potential for audit issues., Financial: Loss of appropriate reimbursement.

Mitigation Strategy

Ensure detailed documentation of delirium symptoms., Regular training on documentation standards.

Impact

Reimbursement: Incorrect coding can lead to lower reimbursement rates., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Default to coding alcohol dependence with withdrawal.

Impact

Inadequate documentation of withdrawal symptoms can lead to coding errors.

Mitigation Strategy

Implement regular documentation audits and training.

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

Documentation Templates for Alcohol Dependence with Withdrawal

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

Emergency Department Visit for Alcohol Withdrawal

Specialty: Emergency Medicine

Required Elements

  • Alcohol use history
  • CIWA-Ar score
  • Withdrawal symptoms
  • Complications

Example Documentation

Patient presents with a 10-year history of alcohol use, last drink 24 hours ago. CIWA-Ar score 18, experiencing tremors and hallucinations. Diagnosis: Alcohol dependence with withdrawal delirium (F10.231).

Examples: Poor vs. Good Documentation

Poor Documentation Example
ETOH withdrawal, give Ativan.
Good Documentation Example
ETOH dependence with severe withdrawal (CIWA-Ar 22): diaphoresis, tremor 4/4, HR 128. Plan: CIWA q2h, lorazepam protocol.
Explanation
The good example provides specific symptoms, CIWA-Ar score, and a detailed treatment plan.

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

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