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ICD-10 Guide
ICD-10 CodesF10.11

F10.11

Billable

Alcohol abuse, in remission

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F10.11 is a billable code used to indicate a diagnosis of alcohol abuse, in remission.

Key Diagnostic Point:

F10.11 refers to a diagnosis of alcohol abuse that is currently in remission. This condition is characterized by a history of problematic alcohol use that has led to significant impairment or distress, but the individual is not currently experiencing symptoms of alcohol use disorder. Remission can be classified as either partial or full, depending on the duration and severity of the symptoms that have subsided. Clinically, this diagnosis is important as it indicates that the individual has made progress in their recovery journey, often through treatment programs, counseling, or support groups. It is essential for healthcare providers to document the patient's history of alcohol use, any treatment received, and the duration of remission to ensure accurate coding and appropriate care planning. The diagnosis of alcohol abuse in remission is crucial for monitoring ongoing recovery and preventing relapse, as well as for coordinating care with mental health and addiction specialists.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between active alcohol use disorder and remission.
  • Understanding the nuances of remission status (partial vs. full).
  • Documenting the history of alcohol use and treatment effectively.
  • Navigating the overlap with other substance use disorders.

Audit Risk Factors

  • Inadequate documentation of remission status.
  • Failure to document the duration of sobriety.
  • Lack of evidence for treatment received.
  • Misclassification of active use versus remission.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, treatment plans, and progress notes.

Common Clinical Scenarios

Patients transitioning from inpatient treatment to outpatient care.

Billing Considerations

Monitoring for potential relapse and ongoing support needs.

Psychiatry

Documentation Requirements

Comprehensive mental health assessments and treatment history.

Common Clinical Scenarios

Patients with co-occurring mental health disorders and alcohol use history.

Billing Considerations

Integration of mental health treatment with substance use recovery.

Coding Guidelines

Inclusion Criteria

Use F10.11 When
  • According to ICD
  • 10 coding guidelines, F10
  • 11 should be used when the patient has a documented history of alcohol abuse but is currently not exhibiting symptoms
  • It is important to include the duration of remission and any treatment history in the documentation

Exclusion Criteria

Do NOT use F10.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

Used in conjunction with F10.11 for patients receiving counseling for substance use.

Documentation Requirements

Document the counseling session details and patient progress.

Specialty Considerations

Addiction specialists may need to coordinate care with tobacco cessation programs.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of alcohol-related disorders, including the differentiation between active use and remission. This specificity aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of alcohol-related disorders, including the differentiation between active use and remission. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of alcohol-related disorders, including the differentiation between active use and remission. This specificity aids in better tracking of treatment outcomes and resource allocation.

Resources

Clinical References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Coding & Billing References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Frequently Asked Questions

What is the difference between F10.11 and F10.10?

F10.11 indicates that the patient has a history of alcohol abuse but is currently in remission, while F10.10 is used when the patient's alcohol abuse status is unspecified or active.