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ICD-10 Guide
ICD-10 CodesF10.97

F10.97

Billable

Alcohol use, unspecified with alcohol-induced persisting dementia

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

Code Description

ICD-10 F10.97 is a billable code used to indicate a diagnosis of alcohol use, unspecified with alcohol-induced persisting dementia.

Key Diagnostic Point:

F10.97 refers to a condition characterized by chronic alcohol use that has led to persistent cognitive impairment, specifically dementia, due to the neurotoxic effects of alcohol. This diagnosis is often seen in individuals with a long history of alcohol abuse, where the cognitive decline is not reversible and manifests as memory loss, impaired reasoning, and difficulties in daily functioning. The condition is classified under alcohol-related disorders, which encompass a range of issues stemming from alcohol consumption, including addiction, withdrawal symptoms, and intoxication. The diagnosis of alcohol-induced persisting dementia requires careful assessment to differentiate it from other forms of dementia, ensuring that the cognitive deficits are directly attributable to alcohol use. Treatment typically involves a combination of abstinence from alcohol, cognitive rehabilitation, and support for co-occurring mental health issues. This code is crucial for capturing the complexity of patients who may require multidisciplinary care, including psychiatric, neurological, and addiction treatment services.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between alcohol-induced dementia and other types of dementia.
  • Need for comprehensive documentation of alcohol use history.
  • Assessment of cognitive impairment severity and its impact on daily functioning.
  • Potential for co-occurring mental health disorders complicating the diagnosis.

Audit Risk Factors

  • Inadequate documentation of alcohol use history.
  • Failure to document cognitive assessments.
  • Misclassification of dementia type.
  • Lack of evidence for the persistence of symptoms.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed history of alcohol use, mental status examination, and cognitive assessments.

Common Clinical Scenarios

Patients presenting with memory loss and a history of alcohol abuse.

Billing Considerations

Consideration of comorbid psychiatric disorders and their impact on treatment.

Neurology

Documentation Requirements

Neurological evaluations, imaging studies, and cognitive testing results.

Common Clinical Scenarios

Patients with cognitive decline and neurological symptoms related to alcohol use.

Billing Considerations

Differentiating between alcohol-induced dementia and other neurodegenerative conditions.

Coding Guidelines

Inclusion Criteria

Use F10.97 When
  • According to ICD
  • 10 coding guidelines, F10
  • 97 should be used when there is clear documentation of alcohol use leading to persistent cognitive impairment
  • It is essential to ensure that the diagnosis is supported by clinical evidence and that other potential causes of dementia are ruled out

Exclusion Criteria

Do NOT use F10.97 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96136CPT Code

Neuropsychological testing

Clinical Scenario

Used to assess cognitive function in patients with suspected alcohol-induced dementia.

Documentation Requirements

Document the rationale for testing and results.

Specialty Considerations

Psychiatrists and neurologists should collaborate on interpretation.

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, improving the ability to capture the complexity of conditions like F10.97. 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, improving the ability to capture the complexity of conditions like F10.97. 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, improving the ability to capture the complexity of conditions like F10.97. 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 difference between F10.97 and other alcohol-related codes?

F10.97 specifically indicates alcohol use leading to persisting dementia, while other codes may refer to different aspects of alcohol use disorders, such as dependence or intoxication.