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F10.932

Billable

Alcohol use, unspecified with withdrawal with perceptual disturbance

HCC Category Mapping

V28HCC 136Alcohol Use with Psychotic Complications
0.275
V24HCC 54Drug/Alcohol Psychosis
0.434
ESRDHCC 54Drug/Alcohol Psychosis
0.000

What This Code Means

A person uses alcohol and is experiencing withdrawal with hallucinations or other perceptual disturbances but without delirium.

Coding Tips

  • This code indicates hallucinations or perceptual disturbances during withdrawal without the full delirium syndrome
  • Distinguish from F10.931 (withdrawal delirium) by documenting whether delirium is present

Clinical Significance

This code captures alcohol unspecified use 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 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 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

Code Hierarchy

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