Jan 9, 2026
Did you know that F10.120 (Alcohol abuse with intoxication, uncomplicated) is a billable ICD-10-CM code used for healthcare diagnosis and reimbursement purposes? However, this code represents much more than just an administrative notation.
When you encounter F10.120 in your clinical practice, you're looking at more than simply "Alcohol abuse with intoxication, uncomplicated". Instead, consider this diagnostic code as a critical window into your patient's underlying psychological architecture. Rather than viewing the intoxicated episode as merely problematic behavior to be stopped, it can serve as a data-rich symptom pointing to untreated mental health conditions. For healthcare providers working with dual diagnosis patients, this moment of intoxication often reveals the specific emotional triggers, cognitive schemas, and trauma responses that alcohol may be attempting to medicate.
This comprehensive guide will help you understand the proper coding, clinical interpretation, and treatment implications of F10.120. You'll learn how to use additional codes for blood alcohol level when applicable (Y90.-) and discover how conducting a "psychological autopsy" of the intoxicated episode can transform your approach to treatment planning. By examining what lies beneath the surface of alcohol abuse with intoxication, you can develop more effective, targeted interventions that address both the substance use disorder and its underlying causes.
ICD-10 Code F10.120: Definition and Classification
The ICD-10 code F10.120 stands at the intersection of medical classification and clinical opportunity. Formally defined as "Alcohol abuse with intoxication, uncomplicated," this diagnostic code represents far more than a simple administrative label for billing purposes [1].
F10.120 in Chapter 5: Mental and Behavioral Disorders
F10.120 belongs to Chapter 5 of the ICD-10-CM classification system, which encompasses Mental, Behavioral, and Neurodevelopmental disorders (codes F01-F99) [2]. Within this framework, F10.120 falls specifically under the subcategory of "Mental and behavioral disorders due to psychoactive substance use" (F10-F19) [3].
The code's structure follows a logical hierarchy that provides increasingly specific clinical information:
F10 - The base code representing all alcohol-related disorders
F10.1 - Narrows to alcohol abuse (distinguished from dependence or unspecified use)
F10.12 - Further specifies alcohol abuse with intoxication
F10.120 - Provides the complete clinical picture: alcohol abuse with intoxication, uncomplicated
Notably, the 2026 edition of ICD-10-CM F10.120 became effective on October 1, 2025, reflecting the ongoing updates to the classification system [1]. The American version may differ from international versions of ICD-10 F10.120, an important consideration for clinicians working across different healthcare systems.
Parent Code F10.12 and Related Subtypes
The parent code F10.12 (Alcohol abuse with intoxication) serves as a non-billable umbrella category with multiple subtypes that provide essential clinical specificity [4]. This parent code itself exists within the broader classification F10.1 (Alcohol abuse), which specifically excludes alcohol dependence (F10.2-) and alcohol use, unspecified (F10.9-) [4].
Under F10.12, three distinct subtypes exist:
F10.120: Alcohol abuse with intoxication, uncomplicated
F10.121: Alcohol abuse with intoxication delirium
F10.129: Alcohol abuse with intoxication, unspecified
Each subtype carries unique clinical implications. F10.120 indicates the individual has an alcohol use disorder and is currently under the influence of alcohol without additional complications [5]. In contrast, F10.121 signifies delirium as a complication of the intoxication, whereas F10.129 suggests potential intoxication from multiple substances, not just alcohol [5].
Billable Status and HIPAA Compliance
Unlike its parent code F10.12, F10.120 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes [1]. This distinction is crucial for healthcare providers seeking appropriate compensation for services rendered.
For reimbursement claims with dates of service on or after October 1, 2015, the use of ICD-10-CM codes like F10.120 is mandatory [1]. Furthermore, F10.120 is grouped within several Diagnostic Related Groups (MS-DRG v43.0) that affect reimbursement rates [1]:
894: Alcohol, drug abuse or dependence, left AMA (against medical advice)
895: Alcohol, drug abuse or dependence with rehabilitation therapy
896: Alcohol, drug abuse or dependence without rehabilitation therapy with MCC (major complications/comorbidities)
897: Alcohol, drug abuse or dependence without rehabilitation therapy without MCC
Additionally, providers should note that an additional code for blood alcohol level (Y90.-) should be used where applicable [4]. This supplementary code provides valuable clinical information while potentially affecting reimbursement rates and treatment planning decisions.
Accurate coding practices furthermore ensure compliance with HIPAA regulations, maintaining both the integrity of medical records and the legality of billing practices [6]. Selecting the most specific code available—in this case, F10.120 rather than the parent code F10.12—improves clinical documentation and provides a more precise picture for treatment planning [6].
Coding Guidelines and Documentation Requirements
Proper documentation of F10.120 requires attention to several critical guidelines that impact both reimbursement and clinical care. Mastering these coding nuances ensures your claims are processed correctly while capturing the complete clinical picture of alcohol abuse with uncomplicated intoxication.
Use of Decimal in Electronic Claims
A common error when submitting F10.120 claims electronically involves the decimal point placement. Do not include the decimal point when electronically filing claims as it may cause rejection [7]. Although some clearinghouses automatically remove decimal points, submitting the code as "F10120" (without the decimal) rather than "F10.120" reduces the risk of claim rejection due to an invalid ICD-10 format [7].
This requirement applies specifically to electronic submissions and differs from how you would document the code in clinical notes or paper claims. Essentially, the electronic system recognizes "F10120" as the proper format for processing purposes, although both versions represent the same diagnosis.
The decimal point requirement constitutes just one element of proper electronic documentation. For maximum clarity in claims processing, your electronic documentation should maintain all other aspects of proper coding, including appropriate modifiers and supporting documentation when applicable.

Inclusion and Exclusion Notes for F10.120
F10.120 comes with specific inclusion and exclusion notes that guide proper usage and prevent coding errors. These notes establish boundaries between related conditions and ensure diagnostic precision.
The code includes an "Excludes1" note, which identifies conditions that cannot be coded alongside F10.120. According to official guidelines, F10.120 explicitly excludes:
The "Excludes1" designation indicates these conditions cannot coexist with F10.120 for coding purposes, as they represent mutually exclusive diagnoses. Consequently, you must determine whether the patient has alcohol abuse (F10.1-), dependence (F10.2-), or unspecified use (F10.9-) before selecting the appropriate intoxication code.
Some related codes also contain "Excludes2" notes which identify conditions that are not included in F10.120 but may coexist with it. For instance, F10.220 (Alcohol dependence with intoxication, uncomplicated) contains an Excludes2 note for "toxic effect of alcohol (T51.0-)" [11].
Understanding these exclusion notes helps prevent claim denials while ensuring accurate representation of the patient's clinical condition. Primarily, they guide clinicians toward selecting the most specific code based on the patient's alcohol use pattern and current clinical presentation.
Use Additional Code for Blood Alcohol Level (Y90.-)
When coding F10.120, official guidelines instruct: "Use additional code for blood alcohol level, if applicable (Y90.-)" [8][12][10]. This supplementary coding provides valuable clinical context regarding intoxication severity.
The Y90.- code series represents "Evidence of alcohol involvement determined by blood alcohol level" [13][1]. Importantly, Y90 itself is a non-billable code [1]; you must select a more specific code from the Y90 series that details the actual blood alcohol level.
Several key points about Y90 coding include:
Y90 describes the circumstance causing an injury, not the nature of the injury itself [13].
Y90 should be used as an additional code, not a primary diagnosis [8][12][10].
Y90 can link to other codes beyond F10, including R78.0 (Finding of alcohol in blood) [13].
For dual diagnosis assessment, properly documenting blood alcohol levels provides objective data that can enhance treatment planning. The Y90 code establishes an important baseline for evaluating the severity of intoxication in relation to underlying psychological factors.
When documenting alcohol intoxication episodes, capturing both the behavioral manifestations (F10.120) and the objective measure (Y90.-) creates a more complete clinical picture, ultimately supporting more effective therapeutic interventions.
MS-DRG Mapping and Reimbursement Implications
Understanding the MS-DRG mapping associated with F10.120 directly impacts both clinical decisions and financial outcomes. When treating patients with alcohol abuse and uncomplicated intoxication, the assigned Diagnosis Related Group (DRG) determines hospital reimbursement rates and influences documentation priorities.
DRG 894: Left AMA Cases
DRG 894 represents a specific scenario in alcohol treatment: patients who leave Against Medical Advice (AMA). This code—"Alcohol, Drug Abuse or Dependence, Left AMA"—applies exclusively to situations where patients with a principal diagnosis in MDC 20 (including F10.120) depart from care prematurely [4][2].
What makes DRG 894 particularly notable is its unusual status in healthcare economics. The code appears on AHRQ's list of low-mortality DRGs with mortality rates below 0.5% [14]. This classification recognizes that while patients leaving AMA represents a treatment challenge, these cases rarely result in immediate mortality despite interrupted care.
From a reimbursement perspective, DRG 894 typically carries different payment implications compared to completed treatment episodes. The distinct classification acknowledges the resource utilization pattern differs when patients exit care prematurely. As a clinician, properly documenting the circumstances surrounding AMA departures becomes especially important since incomplete treatment still consumes significant facility resources.
DRG 895-897: With and Without Rehab Therapy
For patients who complete treatment, F10.120 maps to one of three DRGs based on two primary factors: whether rehabilitation therapy was provided and the presence of complications or comorbidities [4][15]:
DRG 895: Alcohol/Drug Abuse or Dependence with Rehabilitation Therapy
DRG 896: Alcohol/Drug Abuse or Dependence without Rehabilitation Therapy with MCC
DRG 897: Alcohol/Drug Abuse or Dependence without Rehabilitation Therapy without MCC
The rehabilitation therapy designation (DRG 895) requires documentation of specific non-operating room procedures, generally involving counseling or psychotherapy services [16]. Several procedure codes can qualify a case for DRG 895, such as:
Individual Counseling for Substance Abuse Treatment (HZ30ZZZ-HZ3BZZZ)
Group Counseling for Substance Abuse Treatment (HZ40ZZZ-HZ4BZZZ)
Individual Psychotherapy for Substance Abuse Treatment (HZ50ZZZ-HZ5DZZZ)
For cases without documented rehabilitation therapy, the presence or absence of Major Complications or Comorbidities (MCCs) becomes the determining factor between DRGs 896 and 897 [16][17]. This underscores the importance of thoroughly documenting all complications and comorbid conditions, as their presence can significantly affect reimbursement rates.
MDC 20: Alcohol/Drug Use Disorders
F10.120 falls within Major Diagnostic Category 20: "Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders" [4][17]. MDC 20 encompasses the entire range of substance-related disorders, serving as the broader classification structure within which the more specific DRGs operate.
Within MDC 20, alcohol-related diagnoses form a substantial subcategory, with codes ranging from F10.10 (Alcohol abuse, uncomplicated) through F10.99 (Alcohol use, unspecified with unspecified alcohol-induced disorder) [18]. This comprehensive coding structure allows for precise classification of alcohol-related presentations based on:
Pattern of use (abuse, dependence, or unspecified use)
Manifestation (intoxication, withdrawal, etc.)
Complications (delirium, psychosis, etc.)
Importantly, even when F10.120 represents just one component of a dual diagnosis presentation, it will drive MDC and DRG assignment when coded as the principal diagnosis. This highlights the value of understanding which diagnosis should be sequenced first based on the circumstances of admission and resource utilization.
Through proper understanding of these DRG mappings, you can optimize documentation practices to accurately reflect the services provided while ensuring appropriate reimbursement for the care delivered to patients with alcohol abuse and uncomplicated intoxication.
Clinical Interpretation of F10.120 in Dual Diagnosis
Beyond coding technicalities, F10.120 serves as a crucial diagnostic window into underlying psychological architecture. Viewing alcohol intoxication through a clinical lens reveals much more than administrative classification—it offers vital insights for effective treatment planning in dual diagnosis cases.
Alcohol Intoxication as a Symptom, Not Just Behavior
When encountering F10.120, consider alcohol intoxication not merely as problematic behavior but as a targeted intervention by the patient's psyche to regulate unbearable internal states. The intoxicated episode often represents an attempt to self-medicate underlying conditions that haven't been properly addressed [19].
Clinical observation reveals that intoxication frequently functions as:
A makeshift attempt to down-regulate a traumatized nervous system
An escape from overwhelming shame or self-criticism
A form of "liquid courage" to manage social anxiety
An effort to generate pleasure in persistent depressive states
Indeed, the clinical significance of F10.120 lies in understanding what need the alcohol is meeting. The subjective experience during intoxication—whether it quiets internal criticism, alleviates anxiety, or stops panic attacks—identifies specific deficits in affect regulation, dissociation management, or self-compassion [20].
Linking F10.120 to PTSD, Depression, and Anxiety
Epidemiological studies demonstrate a striking connection between alcohol abuse and mental health disorders. Among individuals with alcohol dependence, the prevalence of lifetime PTSD ranges from 26% to 52%, with current PTSD from 15% to 42% [6]. Conversely, in PTSD-diagnosed samples, prevalence rates of comorbid alcohol abuse range from 36% to 52% [6].
This bidirectional relationship manifests through several mechanisms:
Affect Regulation: Alcohol temporarily alleviates hyperarousal symptoms in PTSD
Negative Effect Management: Drinking to cope with depressive thoughts or anxiety
Social Functioning: Alcohol as performance enhancement for social anxiety
Patients with co-occurring alcohol use disorder and PTSD show greater symptom severity and poorer quality of life than those with either disorder alone [21]. Moreover, they experience lower recruitment in treatment programs, poorer clinical outcomes, and faster relapses post-treatment [21]. This underscores why simply coding F10.120 without addressing underlying mental health conditions often results in treatment failure.
F10.120 Psychological Assessment Framework
Effective psychological assessment for F10.120 requires a structured approach that goes beyond documenting the intoxication itself. The American Psychological Association guidelines emphasize that psychologists should integrate "core knowledge and skills" with specialized expertise to properly assess patients with substance use disorders [22].
A comprehensive framework includes:
Timeline Reconstruction: Examining the 72-hour period preceding intoxication to identify emotional climate, interpersonal events, and precise triggers [23].
Functional Analysis: Determining what role alcohol played—did it help manage flashbacks, silence self-criticism, or enable social interaction? This analysis directly connects to underlying diagnoses [24].
Dual-Diagnosis Screening: Systematically screening for trauma-related disorders, mood disorders, and anxiety conditions, as these frequently co-occur with alcohol abuse [25].
Through this assessment lens, F10.120 transforms from a simple notation of intoxication into a critical opportunity to identify and address the underlying psychological architecture driving substance use. Subsequently, treatment planning can target both disorders simultaneously rather than focusing solely on sobriety [21].
Functional Analysis of the Intoxicated Episode
Examining an intoxicated episode through functional analysis transforms F10.120 from a simple diagnostic label into a portal for understanding underlying psychological needs. This analytical approach provides clinicians with a roadmap for unpacking what drives alcohol use and developing targeted interventions.
72-Hour Timeline Reconstruction Protocol
The initial 72 hours preceding intoxication often contain crucial information about what triggered alcohol use. This critical window captures the emotional climate, interpersonal events, and precise triggers that culminated in drinking. Much like how medical detox focuses on the first 72 hours for physiological stabilization, psychological reconstruction focuses on this timeframe for understanding emotional cascades.
Initially, clinicians should explore the 24-72 hours before intoxication, examining chronic stressors, emotional states, and social interactions. Next, focus narrows to the "decision hour"—the moments immediately preceding drinking—where specific thoughts, feelings, or sensations triggered alcohol use. Finally, document what happened during intoxication itself and its aftermath.
Key timeline elements to investigate include:
Interpersonal conflicts or rejections
Periods of isolation or rumination
Exposure to trauma reminders
Social pressures or celebratory contexts
Sensory overload or hyperarousal states
This timeline approach operates as a psychological forensic tool, creating a detailed map of events that can reveal patterns over time when multiple episodes are analyzed.
Identifying Emotional Triggers and Cognitive Schemas
Underlying emotional triggers often connect directly to cognitive schemas—core beliefs that shape how individuals interpret experiences. Research shows that schemas related to Abandonment, Defectiveness/Shame, and Insufficient Self-Control significantly correlate with distress tolerance and alcohol-related problems [5]. These schemas represent deeply held beliefs about oneself and others that, when activated, create overwhelming emotions that may drive drinking behavior.
Distress tolerance—a person's ability to experience and withstand negative emotional states—plays a central role in alcohol use. Individuals with low distress tolerance often use alcohol to cope with uncomfortable feelings, as their capacity to manage emotional discomfort is limited [5]. This coping mechanism becomes particularly evident in college students, where approximately 60% (5.4 million) are current alcohol users, with 3.5 million engaging in binge drinking [5].
Emotion dysregulation represents another critical factor, especially for individuals with co-occurring conditions. Studies of women veterans demonstrate that emotion dysregulation mediates the relationship between PTSD symptoms and stress-induced alcohol craving [26]. Cognitive-affective symptoms in both PTSD and depression show stronger associations with alcohol craving after stress induction than other symptom clusters [26].
Subjective Experience of Intoxication and Affect Regulation
The subjective response to alcohol (SR)—how individuals uniquely experience alcohol's effects—offers vital clinical insights. SR includes both stimulating experiences occurring as breath alcohol content rises and sedative effects prevalent as it wanes [27]. These combined hedonic and aversive experiences strongly predict consumption patterns and consequences [27].
Throughout a drinking episode, subjective effects shift dramatically. On the ascending limb of intoxication, individuals typically report more positive and stimulating effects. In contrast, as blood alcohol levels decline, sedative effects predominate [28]. This pattern creates a reinforcement cycle where early pleasurable effects drive continued drinking, despite later negative consequences.
SR varies significantly between individuals, partially due to genetic factors. The Low Level of Response Model suggests that people less sensitive to alcohol effects face greater risk for developing alcohol use disorder [27]. These individuals must consume more alcohol to achieve similar intoxication levels and experience the negative feedback that might otherwise prompt drinking cessation [27].
The subjective experience of intoxication serves as a functional map for treatment. By understanding precisely what sensations and emotions alcohol provides—whether numbing hyperarousal, quieting self-criticism, or facilitating social connection—clinicians can identify specific affect regulation deficits to address through targeted therapeutic interventions.
Treatment Planning Based on Underlying Function
Once functional analysis reveals what need alcohol serves, effective treatment must directly address that underlying function. Treatment planning pivots from generic approaches to targeted interventions based on what alcohol is "treating" for the individual.
Trauma-Focused Therapy for Hyperarousal
For patients using alcohol primarily to manage trauma-related hyperarousal, integrated trauma-focused psychological therapy produces superior improvements in PTSD symptoms compared to standard relapse prevention alone [9]. Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) provides a framework combining prolonged exposure therapy with relapse prevention strategies through 12 individual 60-90 minute sessions [9].
Throughout this approach, clients establish adaptive coping strategies that replace alcohol's function in regulating the traumatized nervous system. Therefore, addressing both conditions simultaneously allows individuals to process trauma memories safely without relying on alcohol [29].
DBT and CFT for Shame and Self-Criticism
When alcohol serves as escape from overwhelming shame or self-criticism, Dialectical Behavior Therapy (DBT) offers powerful intervention tools. Originally developed for borderline personality disorder, DBT shows evidence of effectiveness for alcohol use disorder by providing skills that help individuals tolerate distress, improve emotion regulation, and cultivate mindfulness [30].
DBT's four psychoeducational modules—mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness—directly address deficits in affect regulation [30]. Pre- to post-treatment improvements in emotion regulation demonstrate large effect sizes (d= –1.17) following DBT intervention [30].
CBT and Exposure for Social Anxiety
For those using alcohol as "liquid courage" for social situations, combining Cognitive-Behavioral Therapy (CBT) with Motivational Enhancement Therapy (MET) provides targeted intervention [31]. This approach first builds motivation to change alcohol-related behaviors, then addresses social anxiety without alcohol dependence [31].
In one successful case study, a 33-year-old man with generalized social anxiety disorder (SAD) and alcohol use disorder (AUD) achieved remission in both conditions following 19 sessions of MET-CBT [31]. Treatment first utilized MET to explore ambivalence about drinking, followed by CBT components including psychoeducation, cognitive restructuring, exposure to feared situations, and modification of core beliefs [31].
Conclusion
The diagnostic code F10.120 represents far more than a billing necessity or administrative requirement. This code offers a critical window into your patient's underlying psychological architecture when approached with clinical curiosity rather than judgment. Through proper understanding and application of this diagnostic code, you gain valuable insights that transform treatment planning and patient outcomes.
Accurate coding practices certainly ensure appropriate reimbursement through the correct DRG assignment, whether dealing with rehabilitation therapy cases or situations involving major complications. Additionally, proper documentation with supplementary codes like blood alcohol levels (Y90.-) creates a complete clinical picture essential for comprehensive care.
Beyond coding technicalities, however, lies the true value of F10.120 - understanding what need alcohol intoxication fulfills for your patient. Alcohol abuse rarely exists in isolation; instead, it often serves as self-medication for untreated mental health conditions. Patients might drink to quiet trauma-related hyperarousal, escape overwhelming shame, generate courage for social situations, or combat persistent depressive states.
The 72-hour timeline reconstruction protocol and functional analysis provide powerful tools to decode these underlying needs. This forensic approach reveals specific emotional triggers, cognitive schemas, and precise mechanisms driving alcohol use. Subsequently, treatment planning shifts from generic approaches to targeted interventions addressing what alcohol is actually "treating" for each individual.
Treatment effectiveness improves dramatically when you match interventions to underlying functions. Trauma-focused therapy addresses hyperarousal while Dialectical Behavior Therapy tackles shame and self-criticism. Similarly, Cognitive-Behavioral Therapy combined with exposure work helps those using alcohol primarily for social anxiety. This function-based approach prevents the "dry drunk" phenomenon where sobriety exists without healing the underlying conditions.
Patients with co-occurring disorders undoubtedly face greater challenges, including more severe symptoms, poorer treatment outcomes, and faster relapses. Therefore, simultaneously addressing both alcohol abuse and its underlying psychological drivers becomes essential for lasting recovery.
Viewing F10.120 through this comprehensive clinical lens transforms a simple notation of intoxication into an opportunity for healing. The intoxicated episode, though problematic, contains valuable data that guides targeted, effective interventions. This approach replaces judgment with understanding, condemnation with curiosity, and generic treatment plans with personalized care pathways that address both the symptom of alcohol abuse and its psychological foundations.
Key Takeaways
Understanding F10.120 goes beyond simple billing—it's a diagnostic window into underlying psychological conditions that drive alcohol use patterns.
• F10.120 requires precise documentation: Use "F10120" format for electronic claims and add blood alcohol codes (Y90.-) when applicable for complete clinical picture.
• DRG assignment affects reimbursement significantly: Cases map to DRG 894-897 based on rehabilitation therapy provision and complications, directly impacting payment rates.
• Intoxication reveals underlying mental health needs: View alcohol use as self-medication for trauma, anxiety, or depression rather than just problematic behavior requiring cessation.
• 72-hour timeline reconstruction identifies triggers: Analyze the critical window before intoxication to uncover emotional cascades, interpersonal conflicts, and specific psychological triggers.
• Function-based treatment improves outcomes: Match interventions to alcohol's purpose—trauma-focused therapy for hyperarousal, DBT for shame, CBT for social anxiety—rather than generic approaches.
• Dual diagnosis requires simultaneous treatment: Patients with co-occurring disorders show poorer outcomes when conditions are treated separately, making integrated care essential for lasting recovery.
This comprehensive approach transforms F10.120 from administrative notation into a roadmap for effective, personalized treatment that addresses both substance use and its psychological foundations.
FAQs
What does F10.120 mean in medical coding?
F10.120 is an ICD-10 code that stands for "Alcohol abuse with intoxication, uncomplicated." It indicates a diagnosis of problematic alcohol use resulting in intoxication without additional serious medical complications.
How does F10.120 differ from other alcohol-related codes?
Unlike codes for alcohol dependence or unspecified use, F10.120 specifically denotes alcohol abuse with current intoxication. It excludes cases with complications like delirium and is distinct from codes indicating long-term dependence.
What are the clinical implications of an F10.120 diagnosis?
This diagnosis suggests the need to explore underlying psychological factors driving alcohol use. It often indicates self-medication for untreated mental health conditions like trauma, anxiety, or depression, rather than just problematic drinking behavior.
How does F10.120 affect treatment planning?
F10.120 should prompt a comprehensive assessment of the patient's psychological needs. Treatment plans should address both the alcohol use and its underlying drivers, potentially including trauma-focused therapy, DBT for emotional regulation, or CBT for anxiety management.
What documentation is required when using the F10.120 code?
Proper documentation for F10.120 includes omitting the decimal point in electronic claims (using "F10120"), adding blood alcohol level codes (Y90.-) when applicable, and thoroughly documenting any complications or comorbid conditions that may affect DRG assignment and reimbursement.
References
[1] - https://www.unboundmedicine.com/icd/view/ICD-10-CM/929901/all/Y90___Evidence_of_alcohol_involvement_determined_by_blood_alcohol_level?q=-+alcohol+disorders+f10+related
[2] - https://www.cms.gov/ICD10Manual/version33-fullcode-cms/fullcode_cms/P0340.html
[3] - https://www.aapc.com/codes/drg-codes/894?srsltid=AfmBOorZcYFU7Q-TjvlQtm3jAFR3Kxk1ReMxXZJHC0r7foR2-FKzyM5x
[4] - https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0023.html
[5] - https://www.sciencedirect.com/science/article/abs/pii/S0306460317303921
[6] - https://pmc.ncbi.nlm.nih.gov/articles/PMC8782594/
[7] - https://icd10coded.com/cm/F10.120/
[8] - https://www.aapc.com/codes/icd-10-codes/F10.120?srsltid=AfmBOopYiTj4dEBX_n3MctkIOcfnX8aFrEq7voJpOY-utg0jtHyXVy8w
[9] - https://www.psychiatryadvisor.com/news/trauma-focused-therapy-reduction-ptsd-symptoms-women-alcohol-use-disorder/
[10] - https://www.aapc.com/codes/icd-10-codes/F10.120?srsltid=AfmBOoobEMHOVoWWMBNTk5YLF_CUiW8Ci7sH4MhpjbGjb0Z8Kv8H4YlV
[11] - https://www.aapc.com/codes/icd-10-codes/F10.220?srsltid=AfmBOopFJjuFA_8bSCIaKsfyZSLRnJQayH0Ec0vwPlaIT0RASwLDoj98
[12] - https://www.icd10data.com/ICD10CM/Codes/F01-F99/F10-F19/F10-/F10.120
[13] - https://www.icd10data.com/ICD10CM/Codes/V00-Y99/Y90-Y99/Y90-/Y90
[14] - https://qualityindicators.ahrq.gov/Downloads/Modules/PSI/V50/TechSpecs/PSI_02_Death_in_Low-Mortality_Diagnosis_Related_Groups_(DRGs).pdf
[15] - https://www.findacode.com/code-set.php?set=DRG&mdc=20
[16] - https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0340.html
[17] - https://icd10coded.com/ms-drg/mdc-20/
[18] - https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0338.html
[19] - https://www.mayoclinic.org/diseases-conditions/alcohol-use-disorder/symptoms-causes/syc-20369243
[20] - https://ada.com/conditions/alcohol-intoxication/
[21] - https://pmc.ncbi.nlm.nih.gov/articles/PMC10853953/
[22] - https://www.apa.org/about/policy/guidelines-psychological-assessment-evaluation.pdf
[23] - https://eastpointbehavioralhealth.com/blog/alcohol-poisoning-symptoms-vs-drunk/
[24] - https://www.sterlingcrossroads.org/recovery-blog/recognizing-the-signs-of-alcoholic-behavior-what-you-need-to-know/
[25] - https://pmc.ncbi.nlm.nih.gov/articles/PMC5844153/
[26] - https://pubmed.ncbi.nlm.nih.gov/38263678/
[27] - https://en.wikipedia.org/wiki/Subjective_response_to_alcohol
[28] - https://www.nature.com/articles/s41598-023-34546-5
[29] - https://www.psychiatrist.com/jcp/treating-ptsd-and-alcohol-use-disorder/
[30] - https://www.recoveryanswers.org/research-post/dialectical-behavior-therapy-individuals-addictive-behaviors/
[31] - https://pmc.ncbi.nlm.nih.gov/articles/PMC2857733/
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Not medical advice. For informational use only.
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