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ICD-10 Guide
ICD-10 CodesF10.25

F10.25

Billable

Alcohol dependence with alcohol-induced psychotic disorder

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

Code Description

ICD-10 F10.25 is a billable code used to indicate a diagnosis of alcohol dependence with alcohol-induced psychotic disorder.

Key Diagnostic Point:

F10.25 refers to a condition characterized by a pattern of alcohol use that leads to significant impairment or distress, accompanied by the presence of psychotic symptoms induced by alcohol consumption. This diagnosis is applicable when an individual exhibits symptoms such as hallucinations, delusions, or disorganized thinking that are directly attributable to alcohol use. The psychotic disorder can manifest during intoxication or withdrawal phases, complicating the clinical picture. The diagnosis of alcohol dependence requires evidence of tolerance, withdrawal symptoms, and continued use despite negative consequences. Treatment typically involves a combination of detoxification, psychotherapy, and pharmacotherapy aimed at managing both the dependence and the psychotic symptoms. Clinicians must carefully assess the timing of symptoms in relation to alcohol use to ensure accurate diagnosis and effective treatment planning.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between alcohol-induced psychotic disorder and primary psychotic disorders.
  • Determining the timing of psychotic symptoms in relation to alcohol use.
  • Managing co-occurring mental health disorders.
  • Navigating the complexities of withdrawal symptoms versus intoxication effects.

Audit Risk Factors

  • Inadequate documentation of psychotic symptoms.
  • Failure to specify the timing of symptoms relative to alcohol use.
  • Misclassification of primary psychotic disorders.
  • Lack of comprehensive substance use history.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed mental status examination and substance use history.

Common Clinical Scenarios

Patients presenting with acute psychosis following binge drinking.

Billing Considerations

Differentiating between substance-induced and primary psychotic disorders.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use patterns and psychosocial factors.

Common Clinical Scenarios

Patients undergoing detoxification with concurrent psychotic symptoms.

Billing Considerations

Coordination of care with mental health services.

Coding Guidelines

Inclusion Criteria

Use F10.25 When
  • According to ICD
  • 10 guidelines, F10
  • 25 should be used when there is clear evidence of alcohol dependence and the presence of psychotic symptoms directly related to alcohol use
  • Coders must ensure that the documentation supports the diagnosis and that symptoms are not better explained by another mental health condition

Exclusion Criteria

Do NOT use F10.25 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0010CPT Code

Alcohol and/or drug assessment

Clinical Scenario

Used when assessing a patient with alcohol dependence and psychotic symptoms.

Documentation Requirements

Comprehensive assessment notes detailing substance use history and current symptoms.

Specialty Considerations

Psychiatric evaluations should include mental status exams and substance use assessments.

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 psychotic disorders from primary psychotic disorders, improving the accuracy of diagnoses and treatment plans.

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 psychotic disorders from primary psychotic disorders, improving the accuracy of diagnoses and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of alcohol-related disorders, including the differentiation of alcohol-induced psychotic disorders from primary psychotic disorders, improving the accuracy of diagnoses and treatment plans.

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 are the key symptoms of alcohol-induced psychotic disorder?

Key symptoms include hallucinations, delusions, and disorganized thinking that occur during or shortly after alcohol intoxication or withdrawal.