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ICD-10 Coding for Alcoholic Intoxication with Complication(F10.0, F10.01)

Complete ICD-10-CM coding and documentation guide for Alcoholic Intoxication with Complication. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Acute Alcohol Intoxication with ComplicationsAlcohol Overdose with Complications

Related ICD-10 Code Ranges

Complete code families applicable to Alcoholic Intoxication with Complication

F10.0-F10.9Primary Range

Mental and behavioral disorders due to use of alcohol

This range includes codes for various conditions related to alcohol use, including intoxication and its complications.

Evidence of alcohol involvement determined by blood alcohol level and clinical severity

These codes are used to indicate the level of alcohol involvement and clinical severity of intoxication.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
F10.0Acute intoxication due to alcoholUse when a patient presents with acute intoxication symptoms and no other alcohol-related disorder is documented.
  • Documented evidence of acute intoxication
  • Clinical signs such as slurred speech, incoordination, or unsteady gait
F10.01Acute intoxication with traumaUse when intoxication results in trauma such as fractures or head injuries.
  • Documented evidence of trauma related to intoxication
  • Clinical findings such as fractures or head injuries

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 alcoholic intoxication with complication

Essential facts and insights about Alcoholic Intoxication with Complication

The ICD-10 code for alcoholic intoxication with complication is F10.0, with specific codes like F10.01 for intoxication with trauma.

Primary ICD-10-CM Codes for alcoholic intoxication with complication

Acute intoxication due to alcohol
Non-billable Code

Decision Criteria

clinical Criteria

  • Presence of acute intoxication symptoms

documentation Criteria

  • Specific mention of intoxication and related symptoms

Applicable To

  • Alcohol intoxication

Excludes

Clinical Validation Requirements

  • Documented evidence of acute intoxication
  • Clinical signs such as slurred speech, incoordination, or unsteady gait

Code-Specific Risks

  • Misclassification with withdrawal symptoms

Coding Notes

  • Ensure documentation specifies acute intoxication and any complications.

Ancillary Codes

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

Blood alcohol level

Y90.0-Y90.8
Use to specify the blood alcohol concentration when available.

Clinical severity of intoxication

Y91.-
Use to indicate the clinical severity of intoxication when BAC is unavailable.

Injury codes

S00-T88
Use to specify the type of injury sustained.

Differential Codes

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

Alcohol withdrawal

F10.23
Use F10.23 for withdrawal symptoms, not intoxication.

Acute intoxication with delirium

F10.03
Use F10.03 if delirium is present instead of trauma.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Alcoholic Intoxication with Complication to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F10.0.

Impact

Clinical: Leads to inadequate treatment documentation., Regulatory: Non-compliance with coding guidelines., Financial: Potential for reduced reimbursement.

Mitigation Strategy

Ensure all complications are documented and coded., Use specific codes for each complication.

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Misclassification affects compliance with coding standards., Data Quality: Impacts the accuracy of patient records.

Mitigation Strategy

Ensure documentation specifies intoxication symptoms, not withdrawal.

Impact

Inadequate documentation can lead to audit findings.

Mitigation Strategy

Ensure comprehensive documentation of all symptoms and complications.

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 Alcoholic Intoxication with Complication, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Alcoholic Intoxication with Complication

Use these documentation templates to ensure complete and accurate documentation for Alcoholic Intoxication with Complication. These templates include all required elements for proper coding and billing.

Emergency Department Visit for Alcohol Intoxication with Trauma

Specialty: Emergency Medicine

Required Elements

  • History of present illness
  • Physical exam findings
  • Laboratory results
  • Imaging studies
  • Linkage of intoxication to trauma

Example Documentation

34M presents unresponsive after consuming 12 beers. GCS 8 at scene. Vomited x3. CT head – subdural hematoma. Assessment: Acute alcohol intoxication with coma (F10.05) and traumatic subdural hematoma (S06.5X0A).

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient intoxicated, fell.
Good Documentation Example
Acute alcohol intoxication (BAC 280 mg/dL via serum) with delirium (GCS 12, agitation) and traumatic subdural hematoma confirmed on CT.
Explanation
The good example provides specific clinical findings and links intoxication to the trauma.

Need help with ICD-10 coding for Alcoholic Intoxication with Complication? Ask your questions below.

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