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ICD-10 Guide
ICD-10 CodesF10.92

F10.92

Billable

Alcohol use, unspecified with intoxication

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

Code Description

ICD-10 F10.92 is a billable code used to indicate a diagnosis of alcohol use, unspecified with intoxication.

Key Diagnostic Point:

F10.92 refers to a diagnosis of alcohol use disorder characterized by the consumption of alcohol leading to intoxication, without specifying the severity or specific details of the alcohol use. This condition is part of a broader category of substance use disorders, which encompass a range of behaviors and physiological responses associated with the consumption of alcohol. Intoxication can manifest in various ways, including impaired judgment, coordination, and cognitive function, which can lead to risky behaviors and potential harm to oneself or others. The diagnosis of alcohol use, unspecified with intoxication, is often used in emergency settings where immediate assessment is necessary, and detailed history may not be available. Treatment for individuals with this diagnosis may include detoxification, counseling, and participation in rehabilitation programs aimed at addressing both the physical and psychological aspects of alcohol dependence. It is crucial for healthcare providers to document the patient's history, the context of alcohol use, and any co-occurring mental health issues to ensure appropriate treatment and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and history
  • Need for comprehensive documentation of intoxication symptoms
  • Differentiation from other substance use disorders
  • Potential for co-occurring mental health conditions

Audit Risk Factors

  • Inadequate documentation of intoxication symptoms
  • Failure to document the context of alcohol use
  • Misclassification of severity of alcohol use disorder
  • Lack of follow-up documentation for treatment plans

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the patient's intoxication level, any injuries sustained, and the treatment provided.

Common Clinical Scenarios

Patients presenting with acute intoxication, injuries related to alcohol use, or altered mental status.

Billing Considerations

Ensure that all relevant history is documented, including prior alcohol use and any co-occurring conditions.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of the patient's alcohol use history, including frequency, quantity, and impact on daily functioning.

Common Clinical Scenarios

Patients seeking treatment for alcohol use disorder, including those in withdrawal or seeking rehabilitation.

Billing Considerations

Document any co-occurring mental health disorders and the patient's readiness for change.

Coding Guidelines

Inclusion Criteria

Use F10.92 When
  • According to ICD
  • 10 coding guidelines, F10
  • 92 should be used when the patient's alcohol use is documented as unspecified and they present with intoxication
  • It is important to ensure that the documentation supports the diagnosis and that any co
  • occurring conditions are also coded appropriately

Exclusion Criteria

Do NOT use F10.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Alcohol and/or drug assessment

Clinical Scenario

Used when assessing a patient with F10.92 for treatment planning.

Documentation Requirements

Document the assessment findings and treatment recommendations.

Specialty Considerations

Ensure that the assessment aligns with the diagnosis and treatment goals.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of alcohol use disorders, enabling better tracking of treatment outcomes and resource allocation. F10.92 provides a broad category for cases where detailed history is not available, but it emphasizes the need for thorough documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of alcohol use disorders, enabling better tracking of treatment outcomes and resource allocation. F10.92 provides a broad category for cases where detailed history is not available, but it emphasizes the need for thorough documentation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of alcohol use disorders, enabling better tracking of treatment outcomes and resource allocation. F10.92 provides a broad category for cases where detailed history is not available, but it emphasizes the need for thorough documentation.

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 F10.92 and F10.20?

F10.92 is used for unspecified alcohol use with intoxication, while F10.20 is for alcohol dependence without specific details. F10.20 indicates a more chronic condition, whereas F10.92 is often used in acute situations.