F10.132

Billable

Alcohol abuse with withdrawal with perceptual disturbance

HCC Category Mapping

V28HCC 136 — Alcohol Use with Psychotic Complications

0.275

V24HCC 54 — Drug/Alcohol Psychosis

0.434

ESRDHCC 54 — Drug/Alcohol Psychosis

0.000

What This Code Means

This code describes a patient who misuses alcohol and is experiencing withdrawal symptoms that include hallucinations or other sensory disturbances (seeing, hearing, or feeling things that aren't there). These perceptual disturbances occur as the body reacts to the sudden reduction or stopping of alcohol use.

Coding Tips

•Ensure documentation clearly indicates both alcohol abuse (not just dependence) and active withdrawal symptoms with specific perceptual disturbances such as hallucinations, illusions, or tactile sensations
•Do not use this code if the patient has alcohol dependence instead of abuse; verify the distinction in the medical record as F10.2 codes are used for dependence

Clinical Significance

This code captures alcohol abuse with withdrawal with perceptual disturbance, indicating physiological dependence severe enough to produce withdrawal symptoms upon cessation or reduction of alcohol intake. Perceptual disturbances during withdrawal (visual, auditory, or tactile hallucinations) indicate severe withdrawal requiring close medical supervision. Withdrawal codes carry significant risk adjustment implications and reflect high-acuity clinical scenarios.

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 withdrawal symptoms (tremor, diaphoresis, tachycardia, hypertension, anxiety, nausea, seizures) occurring after reduction or cessation of alcohol use
✓Documentation of perceptual disturbances (visual, auditory, or tactile hallucinations) occurring during withdrawal with intact reality testing (patient aware hallucinations are not real)
✓Assessment and plan addressing alcohol use disorder with treatment recommendations (counseling, medication-assisted treatment, referral, etc.)

Commonly Confused Codes

F10.2x — Alcohol dependence codes; dependence is a more severe pattern with tolerance/withdrawal/compulsive use — verify provider intent F10.9x — Alcohol use, unspecified; less specific — always code to the highest documented specificity (abuse > unspecified)F10.230-F10.239 — Alcohol dependence with withdrawal; withdrawal in an 'abuse' patient suggests possible dependence — query provider

Code Hierarchy

└F10.132Alcohol abuse with withdrawal with perceptual disturbance