F10.931
BillableAlcohol use, unspecified with withdrawal delirium
HCC Category Mapping
V28HCC 136 — Alcohol Use with Psychotic Complications
0.275V24HCC 54 — Drug/Alcohol Psychosis
0.434ESRDHCC 54 — Drug/Alcohol Psychosis
0.000What This Code Means
A person uses alcohol and is experiencing withdrawal with delirium, causing severe confusion and altered mental status.
Coding Tips
- •Delirium tremens is a medical emergency requiring immediate intervention
- •Document the presence of delirium specifically; this is a more severe form of withdrawal than uncomplicated
Clinical Significance
This code captures alcohol unspecified use with withdrawal delirium (delirium tremens), indicating physiological dependence severe enough to produce withdrawal symptoms upon cessation or reduction of alcohol intake. Withdrawal delirium (delirium tremens) is a life-threatening medical emergency with mortality rates of 1-5% even with treatment, requiring intensive monitoring. Withdrawal codes carry significant risk adjustment implications and reflect high-acuity clinical scenarios.
Documentation Requirements
- ✓Documentation of alcohol use — query the provider to specify abuse or dependence for more accurate coding when possible
- ✓Documentation of withdrawal symptoms (tremor, diaphoresis, tachycardia, hypertension, anxiety, nausea, seizures) occurring after reduction or cessation of alcohol use
- ✓Documentation of delirium tremens: severe confusion, agitation, hallucinations, autonomic instability, fever — a medical emergency requiring ICU-level care
- ✓Assessment and plan addressing alcohol use disorder with treatment recommendations (counseling, medication-assisted treatment, referral, etc.)
Commonly Confused Codes
F10.1x — Alcohol abuse; if documentation supports abuse, code abuse instead of unspecified useF10.2x — Alcohol dependence; if documentation supports dependence, code dependence instead of unspecified useZ72.89 — Other problems related to lifestyle (includes social drinking); use for non-problematic alcohol use without a disorderF10.x30 — Withdrawal, uncomplicated; delirium represents a severe complication and should not be coded as uncomplicated withdrawal
Code Hierarchy
└F10Alcohol related disorders└F10.9Alcohol use, unspecified└F10.93Alcohol use, unspecified with withdrawal└F10.931Alcohol use, unspecified with withdrawal delirium
└F10.931Alcohol use, unspecified with withdrawal delirium