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F10.1 ICD-10-CM Code: Alcohol abuse

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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)

F10.1

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Alcohol abuse

Alcohol abuse

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
F10Alcohol related disorders
F10.1Alcohol abuse

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F10.1 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for F10.1 in this effective period.

Related Child Codes

Official
F10.10Alcohol abuse, uncomplicated
F10.11Alcohol abuse, in remission
F10.12Alcohol abuse with intoxication
F10.13Alcohol abuse, with withdrawal
F10.14Alcohol abuse with alcohol-induced mood disorder

Includes

Official

ICD-10-CM does not list Includes notes for F10.1 in this effective period.

Excludes 1

Official
  • alcohol dependence (F10.2-)
  • alcohol use, unspecified (F10.9-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F10.1 in this effective period.

Use Additional

Official
  • code for blood alcohol level, if applicable (Y90.-)

Code Also

Official

ICD-10-CM does not list Code Also instructions for F10.1 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

F10.1 is the ICD-10-CM diagnosis code for alcohol abuse. F10.1 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental and behavioral disorders due to psychoactive substance use (f10-f19).

Header codes like F10.1 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at F10.1's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F10.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • alcohol dependence (F10.2-)
  • alcohol use, unspecified (F10.9-)

Child Codes

Code Hierarchy

More on F10.1

Referenced in blog posts

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