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ICD-10 Coding for Alcoholic Intoxication Without Complication(F10.120, F10.220)

Complete ICD-10-CM coding and documentation guide for Alcoholic Intoxication Without Complication. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Uncomplicated Alcohol IntoxicationSimple Alcohol Intoxication

Related ICD-10 Code Ranges

Complete code families applicable to Alcoholic Intoxication Without Complication

F10.1-F10.2Primary Range

Mental and behavioral disorders due to use of alcohol

This range includes codes for alcohol abuse and dependence with intoxication, specifying uncomplicated cases.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
F10.120Alcohol abuse with intoxication, uncomplicatedUse when a patient exhibits signs of intoxication due to alcohol abuse without complications.
  • Documented AUDIT score indicating abuse
  • Presence of clinical signs such as slurred speech or unsteady gait
  • Absence of withdrawal symptoms
F10.220Alcohol dependence with intoxication, uncomplicatedUse when a patient with alcohol dependence shows signs of intoxication without complications.
  • Documented DSM-5 criteria for dependence
  • Clinical signs of intoxication
  • Absence of withdrawal symptoms

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 without complication

Essential facts and insights about Alcoholic Intoxication Without Complication

The ICD-10 code for alcoholic intoxication without complication is F10.120 for alcohol abuse and F10.220 for alcohol dependence.

Primary ICD-10-CM Codes for alcoholic intoxication without complication

Alcohol abuse with intoxication, uncomplicated
Billable Code

Decision Criteria

clinical Criteria

  • Presence of intoxication signs without complications

documentation Criteria

  • Explicit statement of alcohol abuse without complications

Applicable To

  • Alcohol abuse with acute intoxication

Excludes

  • Alcohol abuse with intoxication delirium (F10.121)

Clinical Validation Requirements

  • Documented AUDIT score indicating abuse
  • Presence of clinical signs such as slurred speech or unsteady gait
  • Absence of withdrawal symptoms

Code-Specific Risks

  • Misclassification if dependence criteria are met

Coding Notes

  • Ensure documentation specifies the absence of complications and meets DSM-5 criteria for abuse.

Ancillary Codes

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

Blood alcohol level of 200-239 mg/100 ml

Y90.8
Use when a breathalyzer or blood test confirms a BAC in this range.

Blood alcohol level of 240 mg/100 ml or more

Y90.9
Use when a BAC test confirms this level.

Differential Codes

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

Alcohol dependence with intoxication, uncomplicated

F10.220
Use F10.220 if the patient meets criteria for alcohol dependence rather than abuse.

Alcohol abuse with intoxication, uncomplicated

F10.120
Use F10.120 if the patient meets criteria for alcohol abuse rather than dependence.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Alcoholic Intoxication Without Complication to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F10.120.

Impact

Clinical: Inaccurate clinical assessment and treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.

Mitigation Strategy

Use templates that include DSM-5 criteria., Educate providers on documentation requirements.

Impact

Reimbursement: Incorrect coding may lead to improper reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Compromised data quality and inaccurate patient records.

Mitigation Strategy

Ensure documentation specifies abuse or dependence and use F10.120 or F10.220 accordingly.

Impact

Failure to document DSM-5 criteria can lead to audit findings.

Mitigation Strategy

Implement documentation templates and provider education.

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 Without Complication, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Alcoholic Intoxication Without Complication

Use these documentation templates to ensure complete and accurate documentation for Alcoholic Intoxication Without Complication. These templates include all required elements for proper coding and billing.

Emergency Department Presentation

Specialty: Emergency Medicine

Required Elements

  • Vital signs
  • Mental status examination
  • Physical examination findings
  • Laboratory results
  • Assessment and plan

Example Documentation

Patient presents with slurred speech and unsteady gait. BAC 210 mg/dL. Diagnosed with alcohol dependence with intoxication, uncomplicated (F10.220).

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient drunk.
Good Documentation Example
Patient presents with BAC 215 mg/dL, slurred speech, and unsteady gait. Meets DSM-5 criteria for alcohol dependence. No withdrawal symptoms observed.
Explanation
The good example provides specific clinical findings and meets documentation requirements for coding.

Need help with ICD-10 coding for Alcoholic Intoxication Without Complication? Ask your questions below.

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