F10.129

HCC Category Mapping

What This Code Means

Alcohol abuse with intoxication symptoms that are present but the specific type of intoxication complication is not specified.

Coding Tips

• •Use this code when intoxication is documented but delirium or other specific complications are not clearly identified
• •Consider whether more specific intoxication codes (with delirium, uncomplicated, etc.) are appropriate

Clinical Significance

This code captures alcohol abuse with unspecified intoxication, documenting an acute episode of alcohol intoxication in a patient with an established pattern of alcohol abuse. Accurate coding of the use level (abuse) and intoxication status is critical for tracking substance use severity and ensuring appropriate risk adjustment.

Documentation Requirements

• ✓Documentation of a maladaptive pattern of alcohol use with clinically significant impairment or distress (recurrent use causing role failure, hazardous use, legal problems, or social/interpersonal problems)
• ✓Confirmation that criteria for alcohol dependence are NOT met (no tolerance, withdrawal, or compulsive use pattern)
• ✓Documentation of acute intoxication at the time of the encounter, with clinical findings (e.g., blood alcohol level, slurred speech, impaired coordination)
• ✓Assessment and plan addressing alcohol use disorder with treatment recommendations (counseling, medication-assisted treatment, referral, etc.)

Commonly Confused Codes