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F10.10 ICD-10-CM Code: Alcohol abuse, uncomplicated

ICD-10-CM Code View

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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)

F10.10

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Alcohol abuse, uncomplicated

A pattern of alcohol use that is harmful but does not yet meet the criteria for alcohol dependence, without any acute complications.

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
F10.10Alcohol abuse, uncomplicated

Inclusion Terms

Official
  • Alcohol use disorder, mild

Excludes 2

Official

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

Related Child Codes

Official
F10.11Alcohol abuse, in remission
F10.12Alcohol abuse with intoxication
F10.13Alcohol abuse, with withdrawal
F10.14Alcohol abuse with alcohol-induced mood disorder
F10.15Alcohol abuse with alcohol-induced psychotic disorder

Includes

Official

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

Use Additional

Official

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

Code Also

Official

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

Buddy Documentation Tip

HCC Buddy guidance
Distinguish between abuse (F10.1x) and dependence (F10.2x) based on clinical presentation
Document the pattern of use and any social or occupational consequences

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.

Is F10.10 an HCC code?

No. F10.10 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

F10.10 is the ICD-10-CM diagnosis code for alcohol abuse, uncomplicated. A pattern of alcohol use that is harmful but does not yet meet the criteria for alcohol dependence, without any acute complications. F10.10 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).

F10.10 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Distinguish between abuse (F10.1x) and dependence (F10.2x) based on clinical presentation.

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

Coding Tips

  • Distinguish between abuse (F10.1x) and dependence (F10.2x) based on clinical presentation
  • Document the pattern of use and any social or occupational consequences

Child Codes

Code Hierarchy

Work F10.10 in HCC Buddy

Open F10.10 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 14 days to try everything.