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ICD-10 Guide
ICD-10 CodesF10.281

F10.281

Billable

Alcohol dependence with alcohol-induced sexual dysfunction

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

Code Description

ICD-10 F10.281 is a billable code used to indicate a diagnosis of alcohol dependence with alcohol-induced sexual dysfunction.

Key Diagnostic Point:

F10.281 refers to a condition characterized by a pattern of alcohol use that leads to significant impairment or distress, specifically manifesting as sexual dysfunction due to the effects of alcohol. Alcohol dependence is marked by a strong craving for alcohol, loss of control over its use, and withdrawal symptoms when not consuming it. Alcohol-induced sexual dysfunction can present as erectile dysfunction in males, decreased libido, or other sexual performance issues in both genders. The dysfunction is directly attributable to the physiological effects of alcohol on the central nervous system, which can impair sexual arousal and performance. Treatment often involves addressing both the alcohol dependence and the sexual dysfunction, which may include counseling, medication, and support groups. Understanding the interplay between substance use and sexual health is crucial for effective management and recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of both substance use disorders and sexual dysfunction.
  • Differentiating between primary sexual dysfunction and that induced by alcohol.
  • Need for comprehensive documentation of both conditions.
  • Potential for co-occurring mental health disorders complicating diagnosis.

Audit Risk Factors

  • Inadequate documentation linking alcohol dependence to sexual dysfunction.
  • Failure to document the severity of alcohol dependence.
  • Misclassification of sexual dysfunction as primary rather than induced.
  • Lack of evidence for treatment plans addressing both conditions.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed history of substance use, mental health status, and sexual health history.

Common Clinical Scenarios

Patients presenting with anxiety or depression alongside alcohol dependence and sexual dysfunction.

Billing Considerations

Consideration of comorbid mental health disorders and their impact on treatment.

Urology

Documentation Requirements

Assessment of sexual function, including specific tests for erectile dysfunction.

Common Clinical Scenarios

Men presenting with erectile dysfunction who have a history of alcohol use.

Billing Considerations

Need for collaboration with mental health professionals for comprehensive care.

Coding Guidelines

Inclusion Criteria

Use F10.281 When
  • According to ICD
  • 10 guidelines, F10
  • 281 should be used when there is clear documentation of alcohol dependence and associated sexual dysfunction
  • It is essential to ensure that the sexual dysfunction is not better explained by another medical condition

Exclusion Criteria

Do NOT use F10.281 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 alcohol dependence treatment.

Documentation Requirements

Document the counseling session and patient progress.

Specialty Considerations

Important for integrated care in substance use treatment.

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 conditions like sexual dysfunction, which 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 alcohol-induced conditions like sexual dysfunction, which 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 alcohol-induced conditions like sexual dysfunction, which 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 coding F10.281?

Coding F10.281 is crucial for accurately capturing the complexity of a patient's condition, which includes both alcohol dependence and its impact on sexual health. This ensures appropriate treatment and resource allocation.