F10.229

HCC Category Mapping

What This Code Means

A person who is dependent on alcohol and is intoxicated, but the specific type of intoxication complication is not specified or documented.

Coding Tips

• •This is a less specific code; use only when the type of intoxication complication cannot be determined from documentation
• •Query the provider if additional details about the intoxication presentation are available for more specific coding

Clinical Significance

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

Documentation Requirements

• ✓Documentation of alcohol dependence with at least three of: tolerance, withdrawal, use in larger amounts/longer periods than intended, persistent desire or unsuccessful efforts to cut down, significant time spent obtaining/using/recovering, important activities given up, continued use despite knowledge of physical/psychological problems
• ✓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