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ICD-10 Guide
ICD-10 CodesF10.26

F10.26

Billable

Alcohol dependence with alcohol-induced persisting amnestic disorder

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

Code Description

ICD-10 F10.26 is a billable code used to indicate a diagnosis of alcohol dependence with alcohol-induced persisting amnestic disorder.

Key Diagnostic Point:

F10.26 refers to a condition characterized by a chronic pattern of alcohol use leading to significant impairment or distress, coupled with an alcohol-induced persisting amnestic disorder. This disorder manifests as memory deficits that persist beyond the period of intoxication and withdrawal, often resulting from prolonged alcohol abuse. Patients may exhibit difficulties in forming new memories or recalling previously learned information, which can severely impact their daily functioning and quality of life. The condition is often associated with other cognitive impairments and may require comprehensive treatment strategies that include detoxification, rehabilitation, and cognitive therapy. Effective management of F10.26 necessitates a multidisciplinary approach, addressing both the substance use disorder and the cognitive deficits caused by alcohol consumption. Treatment programs may involve counseling, medication-assisted treatment, and support groups, focusing on both abstinence from alcohol and cognitive rehabilitation.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between alcohol dependence and other alcohol-related disorders.
  • Identifying the presence of persisting amnestic disorder.
  • Documenting the severity and duration of alcohol use.
  • Understanding the interplay between cognitive deficits and substance use.

Audit Risk Factors

  • Inadequate documentation of cognitive impairments.
  • Failure to link the amnestic disorder directly to alcohol dependence.
  • Lack of comprehensive treatment plans in medical records.
  • Insufficient follow-up documentation on patient progress.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychiatric evaluations, including cognitive assessments and history of substance use.

Common Clinical Scenarios

Patients presenting with memory issues alongside a history of alcohol use.

Billing Considerations

Ensure that cognitive assessments are documented to support the diagnosis of persisting amnestic disorder.

Addiction Medicine

Documentation Requirements

Comprehensive treatment plans that include both pharmacological and therapeutic interventions.

Common Clinical Scenarios

Patients undergoing detoxification and rehabilitation for alcohol dependence.

Billing Considerations

Document the integration of cognitive rehabilitation strategies in the treatment plan.

Coding Guidelines

Inclusion Criteria

Use F10.26 When
  • According to ICD
  • 10 coding guidelines, F10
  • 26 should be used when there is clear documentation of alcohol dependence alongside evidence of a persisting amnestic disorder
  • It is crucial to differentiate this from other alcohol
  • related disorders and ensure that the documentation supports the diagnosis

Exclusion Criteria

Do NOT use F10.26 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Behavioral health assessment

Clinical Scenario

Used during initial evaluation of patients with suspected alcohol dependence and cognitive impairment.

Documentation Requirements

Complete assessment notes detailing cognitive function and substance use history.

Specialty Considerations

Psychiatric evaluations should include cognitive 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 cognitive impairments associated with alcohol use. This specificity aids in better treatment planning 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 of cognitive impairments associated with alcohol use. This specificity aids in better treatment planning and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of alcohol-related disorders, including the differentiation of cognitive impairments associated with alcohol use. This specificity aids in better treatment planning 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 significance of the persisting amnestic disorder in F10.26?

The persisting amnestic disorder indicates that the cognitive impairment is a direct result of chronic alcohol use, which necessitates specific treatment approaches and careful documentation to ensure appropriate care and coding.