ICD-10 Coding for ETOH Withdrawal(F10.239, F10.93)
Complete ICD-10-CM coding and documentation guide for ETOH Withdrawal. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to ETOH Withdrawal
F10.23-F10.239Primary Range
Alcohol dependence with withdrawal
This range includes codes for alcohol dependence with withdrawal symptoms, which is the primary focus for ETOH withdrawal.
Alcohol use with withdrawal
This code is used when withdrawal symptoms are present without documented dependence, requiring provider clarification.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F10.239 | Alcohol dependence with withdrawal, unspecified | Use when withdrawal symptoms are documented in the context of alcohol dependence. |
|
| F10.93 | Alcohol use, unspecified with withdrawal | Use when withdrawal symptoms are present but dependence is not documented. |
|
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 ETOH withdrawal
Essential facts and insights about ETOH Withdrawal
Primary ICD-10-CM Codes for etoh withdrawal
Decision Criteria
clinical Criteria
- Presence of withdrawal symptoms with a history of alcohol dependence
documentation Criteria
- Explicit documentation of 'alcohol dependence with withdrawal'
Applicable To
- Alcohol withdrawal with dependence
Excludes
- Alcohol intoxication (F10.929)
Clinical Validation Requirements
- Documented withdrawal symptoms such as tremors or agitation
- History of alcohol dependence
Code-Specific Risks
- Incorrectly coding as abuse with withdrawal without provider clarification
Coding Notes
- Ensure documentation specifies 'dependence' to avoid queries.
F10.93 - Alcohol use, unspecified with withdrawal
Use when withdrawal symptoms are present but dependence is not documented.
Applicable To
- Alcohol withdrawal without dependence
Excludes
- Alcohol dependence with withdrawal (F10.239)
Clinical Validation Requirements
- Withdrawal symptoms documented without a history of dependence
Coding Notes
Provider clarification may be needed to differentiate from dependence.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Tremor
R25.1Differential 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 ETOH Withdrawal to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F10.239.
Impact
Clinical: Misrepresentation of patient's condition, Regulatory: Non-compliance with coding guidelines, Financial: Potential for claim denials or reduced reimbursement
Mitigation Strategy
Ensure provider documentation specifies 'dependence' if applicable, Use queries to clarify documentation ambiguities
Impact
Reimbursement: Incorrect coding can lead to denied claims or reduced reimbursement., Compliance: Non-compliance with ICD-10 guidelines if dependence is not clarified., Data Quality: Impacts the accuracy of patient records and data reporting.
Mitigation Strategy
Query the provider to confirm if withdrawal is occurring in the context of dependence.
Impact
Sequencing withdrawal as primary diagnosis without clinical justification.
Mitigation Strategy
Ensure documentation supports withdrawal as the primary treatment focus.
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 ETOH Withdrawal, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for ETOH Withdrawal
Use these documentation templates to ensure complete and accurate documentation for ETOH Withdrawal. These templates include all required elements for proper coding and billing.
Emergency Department Admission for Alcohol Withdrawal
Specialty: Emergency MedicineRequired Elements
- Patient history of alcohol use
- CIWA-Ar score
- Withdrawal symptoms
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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