F10.250

Billable

Alcohol dependence with alcohol-induced psychotic disorder with delusions

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 person who is dependent on alcohol and experiences psychotic symptoms, specifically delusions (false beliefs), as a direct result of their alcohol use. The delusions are a mental health complication caused by the alcohol dependence itself.

Coding Tips

•Verify documentation clearly states both alcohol dependence AND alcohol-induced psychotic disorder with delusions to justify this combination code; do not code if psychosis is unrelated to alcohol use
•The fifth character '0' indicates the current episode is uncomplicated; if remission or other episode status is documented, select the appropriate fifth character (1-3)

Clinical Significance

This code captures alcohol dependence 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 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 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

F10.1x — Alcohol abuse codes; abuse is a less severe pattern — if documentation says 'dependence,' do not downcode to abuse F10.9x — Alcohol use, unspecified; always code dependence when documented, as it carries appropriate risk adjustment weight F20.x — Schizophrenia spectrum disorders; primary psychotic disorders are independent of substance use — verify temporal relationship to alcohol

Code Hierarchy

└F10.250Alcohol dependence with alcohol-induced psychotic disorder with delusions