F10.11 ICD-10-CM Code: Alcohol abuse, in remission
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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)
F10.11
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceAlcohol abuse, in remission
A history of harmful alcohol use that has improved or stopped, with the person no longer actively abusing alcohol.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
Official- Alcohol use disorder, mild, in early remission
- Alcohol use disorder, mild, in sustained remission
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for F10.11 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for F10.11 in this effective period.
Excludes 1
Official- alcohol dependence (F10.2-)
- alcohol use, unspecified (F10.9-)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for F10.11 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for F10.11 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for F10.11 in this effective period.
Buddy Documentation Tip
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 F10.11 an HCC code?
No. F10.11 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
F10.11 is the ICD-10-CM diagnosis code for alcohol abuse, in remission. A history of harmful alcohol use that has improved or stopped, with the person no longer actively abusing alcohol. F10.11 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).
F10.11 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.
Use this code when the patient has achieved abstinence or controlled use after a period of abuse.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F10.11 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code when the patient has achieved abstinence or controlled use after a period of abuse
- •Document the length of remission and any ongoing treatment or support