F10.150

HCC Category Mapping

What This Code Means

Alcohol abuse that causes psychotic symptoms, specifically delusions (false beliefs), while the person is abusing alcohol.

Coding Tips

• •Document the temporal relationship between alcohol use and psychotic symptoms
• •Distinguish from primary psychotic disorders by establishing that symptoms are substance-induced

Clinical Significance

This code captures alcohol abuse with alcohol-induced psychotic disorder with delusions, documenting a psychiatric manifestation directly caused by alcohol use. The distinction between substance-induced psychiatric symptoms and primary psychiatric disorders is clinically crucial for treatment planning — substance-induced conditions may resolve with sustained sobriety. These combination codes carry higher risk adjustment weight reflecting the dual complexity of substance use disorder combined with psychiatric comorbidity.

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 that the psychotic disorder with delusions is directly attributable to alcohol use, not a primary/independent psychiatric disorder
• ✓Documentation of psychotic symptoms (delusions and/or hallucinations) and their temporal relationship to alcohol use
• ✓Assessment and plan addressing alcohol use disorder with treatment recommendations (counseling, medication-assisted treatment, referral, etc.)

Commonly Confused Codes