ICD-10 Coding for Alcoholism in Remission(F10.21, F10.11)
Complete ICD-10-CM coding and documentation guide for Alcoholism in Remission. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Alcoholism in Remission
F10.1-F10.2Primary Range
Mental and behavioral disorders due to use of alcohol
This range includes codes for alcohol use disorders, specifically focusing on those in remission.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F10.21 | Alcohol dependence, in remission | Use when the patient has a history of alcohol dependence and is currently in remission. |
|
| F10.11 | Alcohol abuse, in remission | Use when the patient has a history of alcohol abuse and is currently in remission. |
|
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 alcoholism in remission
Essential facts and insights about Alcoholism in Remission
Primary ICD-10-CM Codes for alcoholism in remission
Decision Criteria
clinical Criteria
- Patient meets 4+ DSM-5 criteria historically for alcohol dependence.
documentation Criteria
- Explicit documentation of 'in remission' status.
Applicable To
- Alcohol dependence in early remission
- Alcohol dependence in sustained remission
Excludes
- Alcohol abuse in remission (F10.11)
Clinical Validation Requirements
- Documentation of ≥4 DSM-5 criteria met historically
- Explicit statement of 'in remission'
Code-Specific Risks
- Misclassification if 'history of' is used instead of 'in remission'.
Coding Notes
- Ensure documentation specifies 'in remission' and the duration of sobriety.
F10.11 - Alcohol abuse, in remission
Use when the patient has a history of alcohol abuse and is currently in remission.
Applicable To
- Alcohol abuse in early remission
- Alcohol abuse in sustained remission
Excludes
- Alcohol dependence in remission (F10.21)
Clinical Validation Requirements
- Documentation of 2-3 DSM-5 criteria met historically
- Explicit statement of 'in remission'
Coding Notes
Ensure documentation specifies 'in remission' and the duration of sobriety.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Blood alcohol level
Y90.-Differential 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 Alcoholism in Remission to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F10.21.
Impact
Clinical: Misrepresents patient's current status., Regulatory: Non-compliance with ICD-10 standards., Financial: Potential for incorrect billing and reimbursement.
Mitigation Strategy
Educate providers on proper documentation., Implement EHR prompts for remission status.
Impact
Reimbursement: Incorrect coding can affect reimbursement rates., Compliance: Non-compliance with ICD-10 documentation standards., Data Quality: Leads to inaccurate patient records.
Mitigation Strategy
Query the provider for clarification on remission status.
Impact
Failure to document remission status can lead to audit findings.
Mitigation Strategy
Ensure all clinical notes include remission status and duration.
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 Alcoholism in Remission, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Alcoholism in Remission
Use these documentation templates to ensure complete and accurate documentation for Alcoholism in Remission. These templates include all required elements for proper coding and billing.
Psychiatry Progress Note
Specialty: PsychiatryRequired Elements
- Remission status
- Duration of sobriety
- Support systems
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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