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F10.182 ICD-10-CM Code: Alcohol abuse with alcohol-induced sleep disorder

F10.182 maps to CMS-HCC V28 139. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · free HCC coding tools

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Code lookupF10.182

FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)

F10.182

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

Alcohol abuse with alcohol-induced sleep disorder

A person who abuses alcohol and develops sleep problems (such as insomnia or disrupted sleep patterns) caused by their alcohol consumption.

Buddy the Bee presenting code insight

Buddy Insight

This code captures alcohol abuse with alcohol-induced sleep disorder, reflecting the clinical complexity of alcohol use disorders and their systemic effects.

OverviewRisk ModelsCode BookDocumentationAuditNotesEdition comparison

CMS-HCC V28

HCC 139

Coefficient HCC 139: 0.242 (Community Non-Dual Aged (CNA))

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 084

Code-level coefficient reference

ESRD/PACE

HCC 55

Code-level coefficient reference

RXHCC

N/A

—

Not mapped

Code Book Path

Official
F10.1Alcohol abuseF10.18Alcohol abuse with other alcohol-induced disordersF10.182Alcohol abuse with alcohol-induced sleep disorder

Inclusion Terms

Official

No inclusion terms are included in this display for F10.182. Check the code and parent instructions in the Code Book.

Excludes 2

Official
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99

Related Codes

Official
F10.180Alcohol abuse with alcohol-induced anxiety disorderF10.181Alcohol abuse with alcohol-induced sexual dysfunctionF10.188Alcohol abuse with other alcohol-induced disorder

Includes

Official
  • disorders of psychological developmentInherited from F01-F99

Excludes 1

Official
  • alcohol dependence (F10.2-)Inherited from F10.1
  • alcohol use, unspecified (F10.9-)Inherited from F10.1

Code First

Official

No Code First sequencing instructions are included in this display for F10.182. Check the code and parent instructions in the Code Book.

Use Additional

Official
  • code for blood alcohol level, if applicable (Y90.-)Inherited from F10

Code Also

Official

No Code Also instructions are included in this display for F10.182. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
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)
Assessment and plan addressing alcohol use disorder with treatment recommendations (counseling, medication-assisted treatment, referral, etc.)

MEAT Support

HCC Buddy guidance
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)
Assessment and plan addressing alcohol use disorder with treatment recommendations (counseling, medication-assisted treatment, referral, etc.)

Audit Caution

HCC Buddy guidance
Coding alcohol abuse when documentation actually supports dependence (tolerance, withdrawal, compulsive use) — always use the highest severity level documented
Assigning an alcohol use disorder code based solely on lab values (elevated GGT, MCV) without provider documentation of the clinical diagnosis
Not capturing alcohol use disorder at all when it is documented in the medical record — active conditions affecting care must be coded regardless of the primary reason for the visit

Common Mistakes

HCC Buddy guidance
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)

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is F10.182 an HCC code?

Yes. F10.182 (Alcohol abuse with alcohol-induced sleep disorder) maps to HCC 139, Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.242. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: F10.182 is billable and maps to V28 HCC 139, Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code
F10.182
Description
Alcohol abuse with alcohol-induced sleep disorder
HCC (V28)
HCC 139 — Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications
RAF reference coefficient
0.242
Billable
Yes
Payment year
2026

HCC Category Mapping

V28HCC 139, Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications
0.242
ESRDHCC 55, Substance Use Disorder/Moderate/Severe/Substance Use with Complications
Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work F10.182 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F10.182

For F10.182, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

  • MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
  • EEvaluate: test results, medication response, or physical findings reviewed by the provider
  • AAssess: explicit mention in the assessment or plan with acknowledgment of status
  • TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Coder workflow notes

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What This Code Means

F10.182 is the ICD-10-CM diagnosis code for alcohol abuse with alcohol-induced sleep disorder. A person who abuses alcohol and develops sleep problems (such as insomnia or disrupted sleep patterns) caused by their alcohol consumption. F10.182 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).

Under the CMS-HCC V28 risk adjustment model, F10.182 maps to Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications (HCC 139) with a source-labeled community, non-dual, aged reference coefficient of 0.242. No V24 mapping is shown for F10.182; use the applicable model and payment year when reviewing the V28 mapping. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Document the specific sleep disturbance (insomnia, hypersomnia, etc.) when available for better clinical clarity. For F10.182, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F10.182 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • •Document the specific sleep disturbance (insomnia, hypersomnia, etc.) when available for better clinical clarity
  • •Note that alcohol may initially help sleep but typically disrupts sleep architecture with continued use

Clinical Significance

This code captures alcohol abuse with alcohol-induced sleep disorder, reflecting the clinical complexity of alcohol use disorders and their systemic effects. Proper classification of the use level and associated complications is essential for treatment planning and resource allocation. Risk adjustment models recognize the significant healthcare utilization associated with alcohol use disorders and their complications.

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)
  • ✓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)

Child Codes

F10.180Alcohol abuse with alcohol-induced anxiety disorder
HCC 139
F10.181Alcohol abuse with alcohol-induced sexual dysfunction
HCC 139
F10.182Alcohol abuse with alcohol-induced sleep disorder
HCC 139
F10.188Alcohol abuse with other alcohol-induced disorder
HCC 139

Code Hierarchy

└F10Alcohol related disorders└F10.1Alcohol abuse└F10.18Alcohol abuse with other alcohol-induced disorders└F10.182Alcohol abuse with alcohol-induced sleep disorder
└F10.182Alcohol abuse with alcohol-induced sleep disorder

Also searched as

  • F10 182
  • F10182

For F10.182, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

F10.182 maps to CMS-HCC V28 category 139, Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications. See the ICD-10 to HCC mapping hub for how the V28 crosswalk works. The mapping identifies a payment HCC category for F10.182. Review its source-labeled HCC coefficient above, check the RAF Calculator with complete member context for CMS-HCC V28 PY2026, and confirm the documentation the chart needs before the code is submitted. HCC Buddy shows no RAF score unless every required source and calculation check passes.

More on F10.182

Code family

Every F10 code with its CMS-HCC V28 statusAlcohol related disorders, 58 billable codes

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