ICD-10 Coding for Alcohol Use Disorder, Moderate Dependence(F10.10, F10.20)
Complete ICD-10-CM coding and documentation guide for Alcohol Use Disorder, Moderate Dependence. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Alcohol Use Disorder, Moderate Dependence
F10.1-F10.2Primary Range
Mental and behavioral disorders due to use of alcohol
This range includes codes for alcohol abuse and dependence, which are relevant for documenting alcohol use disorder.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F10.10 | Alcohol abuse, uncomplicated | Use when the patient meets 4-5 DSM-5 criteria for alcohol use disorder without dependence features. |
|
| F10.20 | Alcohol dependence, uncomplicated | Use when the patient meets 6 or more DSM-5 criteria and exhibits dependence features. |
|
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 moderate alcohol use disorder
Essential facts and insights about Alcohol Use Disorder, Moderate Dependence
Primary ICD-10-CM Codes for alcohol use disorder moderate dependence
Decision Criteria
clinical Criteria
- 4-5 DSM-5 criteria met without tolerance or withdrawal
documentation Criteria
- Explicit statement of 'moderate alcohol use disorder'
Applicable To
- Moderate alcohol use disorder without dependence features
Excludes
- Alcohol dependence (F10.2-)
Clinical Validation Requirements
- 4-5 DSM-5 criteria for alcohol use disorder
- No evidence of tolerance or withdrawal
Code-Specific Risks
- Misclassification of severity if dependence features are present
Coding Notes
- Ensure documentation specifies the number of DSM-5 criteria met and absence of dependence features.
F10.20 - Alcohol dependence, uncomplicated
Use when the patient meets 6 or more DSM-5 criteria and exhibits dependence features.
Applicable To
- Severe alcohol use disorder with dependence features
Excludes
- Alcohol abuse without dependence (F10.10)
Clinical Validation Requirements
- 6 or more DSM-5 criteria for alcohol use disorder
- Presence of tolerance or withdrawal
Coding Notes
Ensure documentation specifies the presence of dependence features.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Alcohol dependence, in remission
F10.21Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Alcohol Use Disorder, Moderate Dependence 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 coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Use structured templates for documentation., Educate providers on DSM-5 criteria.
Impact
Reimbursement: Incorrect coding can lead to reimbursement discrepancies., Compliance: Misclassification may result in compliance issues., Data Quality: Affects the accuracy of clinical data.
Mitigation Strategy
Clarify with the provider whether dependence features are present to determine the correct code.
Impact
Incorrectly coding moderate dependence as severe or vice versa.
Mitigation Strategy
Ensure thorough documentation of DSM-5 criteria and absence or presence of dependence features.
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 Use Disorder, Moderate Dependence, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Alcohol Use Disorder, Moderate Dependence
Use these documentation templates to ensure complete and accurate documentation for Alcohol Use Disorder, Moderate Dependence. These templates include all required elements for proper coding and billing.
Moderate Alcohol Use Disorder
Specialty: PsychiatryRequired Elements
- Patient history of alcohol use
- Number of DSM-5 criteria met
- Impact on daily functioning
- Absence of dependence features
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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