F10.232

HCC Category Mapping

What This Code Means

A person who is dependent on alcohol and experiences perceptual disturbances (such as seeing or hearing things that aren't there) during alcohol withdrawal.

Coding Tips

• •Perceptual disturbances during withdrawal are distinct from full delirium; document the specific hallucinations or illusions present
• •This is less severe than withdrawal delirium but still requires close monitoring

Clinical Significance

This code captures alcohol dependence 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 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 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