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ICD-10 Coding for Alcohol Detox(F10.230, F10.231)

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

Also known as:

Alcohol Withdrawal ManagementAlcohol Detoxification

Related ICD-10 Code Ranges

Complete code families applicable to Alcohol Detox

F10.2-F10.9Primary Range

Mental and behavioral disorders due to use of alcohol

This range includes codes for alcohol dependence, withdrawal, and related conditions.

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 uncomplicated withdrawalUse when withdrawal symptoms are present without delirium.
  • CIWA score ≥8
  • Documented symptoms like tremors and anxiety
F10.231Alcohol dependence with withdrawal deliriumUse when withdrawal symptoms include delirium.
  • CIWA score ≥15
  • Documented delirium or hallucinations

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 detox

Essential facts and insights about Alcohol Detox

The ICD-10 code for alcohol detox is F10.230 for uncomplicated withdrawal and F10.231 for withdrawal with delirium.

Primary ICD-10-CM Codes for alcohol detox

Alcohol dependence with uncomplicated withdrawal
Billable Code

Decision Criteria

clinical Criteria

  • CIWA score ≥8 without delirium

Applicable To

  • Mild withdrawal symptoms

Excludes

  • Alcohol withdrawal delirium (F10.231)

Clinical Validation Requirements

  • CIWA score ≥8
  • Documented symptoms like tremors and anxiety

Code-Specific Risks

  • Misclassification if delirium is present but not documented

Coding Notes

  • Ensure CIWA score and symptoms are documented.

Ancillary Codes

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

Finding of alcohol in blood

R78.0
Use when BAC is documented

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 or hallucinations

Alcohol dependence with uncomplicated withdrawal

F10.230
Absence of delirium

Documentation & Coding Risks

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

Impact

Clinical: Inadequate assessment of withdrawal severity., Regulatory: Potential non-compliance with coding standards., Financial: Risk of claim denial due to insufficient documentation.

Mitigation Strategy

Implement CIWA scoring in all detox assessments, Train staff on documentation standards

Impact

Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.

Mitigation Strategy

Ensure documentation supports the presence or absence of delirium.

Impact

Use of unspecified codes when specific symptoms are documented.

Mitigation Strategy

Ensure detailed documentation of symptoms and CIWA scores.

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

Documentation Templates for Alcohol Detox

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

Inpatient alcohol detox

Specialty: Internal Medicine

Required Elements

  • CIWA score
  • Symptoms of withdrawal
  • Treatment plan

Example Documentation

Patient admitted for alcohol detox with CIWA score of 14, exhibiting tremors and anxiety. Plan includes Librium protocol.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient detoxing from alcohol.
Good Documentation Example
Patient admitted for alcohol detox with CIWA score of 14, exhibiting tremors and anxiety.
Explanation
The good example provides specific clinical indicators and a treatment plan.

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

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