F10.932
BillableAlcohol use, unspecified with withdrawal with perceptual disturbance
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is F10.932 an HCC code?
Yes. F10.932 maps to Alcohol Use with Psychotic Complications under the CMS-HCC V28 risk adjustment model (and Drug/Alcohol Psychosis under V24).
HCC Category Mapping
RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.
MEAT Criteria for F10.932
For F10.932 to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically — it has to be re-documented and supported each calendar year.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed F10.932 during that encounter — not just copy-forwarded from a problem list.
What This Code Means
F10.932 is the ICD-10-CM diagnosis code for alcohol use, unspecified with withdrawal with perceptual disturbance. A person uses alcohol and is experiencing withdrawal with hallucinations or other perceptual disturbances but without delirium. F10.932 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental and behavioral disorders due to psychoactive substance use (f10-f19).
Under the CMS-HCC V28 risk adjustment model, F10.932 maps to Alcohol Use with Psychotic Complications (HCC 136) with a community, non-dual, aged base RAF weight of 0.275. Under the older CMS-HCC V24 model, F10.932 maps to Drug/Alcohol Psychosis (HCC 54) with a community, non-dual, aged base RAF weight of 0.434. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.
This code indicates hallucinations or perceptual disturbances during withdrawal without the full delirium syndrome. Because F10.932 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F10.932 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
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
- •F10.1x — Alcohol abuse; if documentation supports abuse, code abuse instead of unspecified use
- •F10.2x — Alcohol dependence; if documentation supports dependence, code dependence instead of unspecified use
- •Z72.89 — Other problems related to lifestyle (includes social drinking); use for non-problematic alcohol use without a disorder