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ICD-10 Guide
ICD-10 CodesF10.180

F10.180

Billable

Alcohol abuse with alcohol-induced anxiety disorder

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

Code Description

ICD-10 F10.180 is a billable code used to indicate a diagnosis of alcohol abuse with alcohol-induced anxiety disorder.

Key Diagnostic Point:

F10.180 refers to a diagnosis of alcohol abuse accompanied by an alcohol-induced anxiety disorder. This condition arises when an individual experiences anxiety symptoms that are directly attributable to the consumption of alcohol. The anxiety may manifest during periods of intoxication or withdrawal, leading to significant distress and impairment in social, occupational, or other important areas of functioning. Alcohol abuse is characterized by a pattern of drinking that results in adverse consequences, such as failure to fulfill major obligations, recurrent legal problems, and continued use despite social or interpersonal issues. The anxiety disorder can complicate the clinical picture, as it may require a dual approach to treatment, addressing both the substance use disorder and the anxiety symptoms. Treatment typically involves a combination of psychotherapy, medication management, and support groups, emphasizing the importance of a comprehensive treatment plan to manage both conditions effectively.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between alcohol-induced anxiety and primary anxiety disorders.
  • Understanding the nuances of alcohol abuse versus dependence.
  • The need for thorough documentation of both substance use and mental health symptoms.
  • Potential for co-occurring disorders that complicate diagnosis.

Audit Risk Factors

  • Inadequate documentation of the relationship between alcohol use and anxiety symptoms.
  • Failure to document the severity and impact of both conditions.
  • Misclassification of alcohol use disorder severity.
  • Lack of evidence for treatment plans addressing both disorders.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed history of substance use, mental health assessments, and treatment plans.

Common Clinical Scenarios

Patients presenting with anxiety symptoms that worsen with alcohol use or during withdrawal.

Billing Considerations

Need for careful assessment of both alcohol use and anxiety symptoms to avoid misdiagnosis.

Addiction Medicine

Documentation Requirements

Comprehensive substance use history, including patterns of use and associated mental health issues.

Common Clinical Scenarios

Patients in recovery experiencing anxiety that may be exacerbated by cravings or withdrawal symptoms.

Billing Considerations

Focus on integrated treatment approaches that address both substance use and mental health.

Coding Guidelines

Inclusion Criteria

Use F10.180 When
  • According to ICD
  • 10 guidelines, F10
  • 180 should be used when there is clear documentation of alcohol abuse and the presence of anxiety symptoms directly related to alcohol use
  • It is important to differentiate this from primary anxiety disorders that are not induced by alcohol

Exclusion Criteria

Do NOT use F10.180 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96127CPT Code

Brief emotional/behavioral assessment

Clinical Scenario

Used when assessing anxiety symptoms in patients with alcohol use disorder.

Documentation Requirements

Document the assessment results and treatment recommendations.

Specialty Considerations

Psychiatrists may use this code frequently in conjunction with F10.180.

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 of alcohol-induced anxiety disorders, which enhances the accuracy of treatment and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of alcohol-related disorders, including the differentiation of alcohol-induced anxiety disorders, which enhances the accuracy of treatment and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 alcohol-induced anxiety disorder and primary anxiety disorders?

Alcohol-induced anxiety disorder is specifically related to alcohol use, with symptoms occurring during intoxication or withdrawal, while primary anxiety disorders are not directly linked to substance use and can occur independently.