ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesF10.251

F10.251

Billable

Alcohol dependence with alcohol-induced psychotic disorder with hallucinations

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

Code Description

ICD-10 F10.251 is a billable code used to indicate a diagnosis of alcohol dependence with alcohol-induced psychotic disorder with hallucinations.

Key Diagnostic Point:

F10.251 refers to a severe form of alcohol use disorder characterized by a compulsive pattern of alcohol consumption leading to significant impairment or distress. This code specifically denotes the presence of alcohol-induced psychotic disorder, which manifests as hallucinations. Hallucinations can be auditory, visual, or tactile, and they occur during or shortly after periods of heavy alcohol use or withdrawal. The condition is often associated with other symptoms of alcohol dependence, such as cravings, tolerance, and withdrawal symptoms. The psychotic features can complicate the clinical picture, requiring careful assessment and management. Treatment typically involves a combination of detoxification, pharmacotherapy (such as antipsychotics or benzodiazepines), and psychosocial interventions, including counseling and support groups. Accurate coding is essential for appropriate treatment planning and reimbursement, as well as for tracking the prevalence and outcomes of alcohol-related disorders in clinical settings.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between alcohol-induced psychotic disorder and primary psychotic disorders.
  • Identifying the severity of alcohol dependence and associated symptoms.
  • Documenting the presence and type of hallucinations accurately.
  • Understanding the interplay between withdrawal symptoms and psychotic features.

Audit Risk Factors

  • Inadequate documentation of hallucinations or psychotic symptoms.
  • Failure to document the severity of alcohol dependence.
  • Misclassification of the type of psychotic disorder.
  • Lack of evidence for treatment interventions related to the diagnosis.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychiatric evaluation notes, including history of substance use, mental status examination, and treatment plans.

Common Clinical Scenarios

Patients presenting with acute psychosis during alcohol withdrawal or intoxication.

Billing Considerations

Ensure that the documentation clearly distinguishes between substance-induced symptoms and primary psychiatric disorders.

Addiction Medicine

Documentation Requirements

Comprehensive substance use history, assessment of withdrawal symptoms, and treatment response.

Common Clinical Scenarios

Patients undergoing detoxification with concurrent psychotic symptoms.

Billing Considerations

Documenting the multidisciplinary approach to treatment, including behavioral therapies and pharmacotherapy.

Coding Guidelines

Inclusion Criteria

Use F10.251 When
  • According to ICD
  • 10 coding guidelines, F10
  • 251 should be used when there is clear documentation of alcohol dependence accompanied by psychotic symptoms, specifically hallucinations
  • Coders must ensure that the diagnosis is supported by clinical evidence and that the symptoms are directly attributable to alcohol use
  • induced

Exclusion Criteria

Do NOT use F10.251 When
  • Exclusion criteria include primary psychotic disorders that are not substance

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for patients with alcohol dependence and psychotic symptoms.

Documentation Requirements

Document the patient's history, mental status, and treatment plan.

Specialty Considerations

Psychiatrists should ensure that the visit notes reflect the complexity of managing both alcohol dependence and psychosis.

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, improving the ability to track and treat complex cases like F10.251. This specificity aids in better understanding the prevalence and treatment outcomes of alcohol dependence with psychotic features.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of alcohol-related disorders, improving the ability to track and treat complex cases like F10.251. This specificity aids in better understanding the prevalence and treatment outcomes of alcohol dependence with psychotic features.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of alcohol-related disorders, improving the ability to track and treat complex cases like F10.251. This specificity aids in better understanding the prevalence and treatment outcomes of alcohol dependence with psychotic features.

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 F10.251 and F10.250?

F10.251 includes the presence of hallucinations as part of the alcohol-induced psychotic disorder, while F10.250 does not specify hallucinations, indicating a less severe presentation.