F10.94 ICD-10-CM Code: Alcohol use, unspecified with alcohol-induced mood disorder
F10.94 maps to CMS-HCC V28 139. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · HCC coding software
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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)
F10.94
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceAlcohol use, unspecified with alcohol-induced mood disorder
A condition where someone uses alcohol in an unspecified pattern and develops mood problems such as depression or bipolar disorder as a direct result of the alcohol use.
Buddy Insight
Alcohol-induced mood disorder in the context of unspecified alcohol use indicates that alcohol consumption is directly causing depressive or manic symptoms.
CMS-HCC V28
MappedHCC 139
Coefficient HCC 139: 0.242 (Community Non-Dual Aged (CNA))
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
MappedHCC 084
Code-level coefficient reference
ESRD/PACE
MappedHCC 55
Code-level coefficient reference
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Alcohol induced bipolar or related disorder, without use disorder
- Alcohol induced depressive disorder, without use disorder
Excludes 2
Official- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99
Related Codes
Includes
Official- disorders of psychological developmentInherited from F01-F99
Excludes 1
Official- alcohol abuse (F10.1-)Inherited from F10.9
- alcohol dependence (F10.2-)Inherited from F10.9
Code First
OfficialNo Code First sequencing instructions are included in this display for F10.94. Check the code and parent instructions in the Code Book.
Use Additional
Official- code for blood alcohol level, if applicable (Y90.-)Inherited from F10
Code Also
OfficialNo Code Also instructions are included in this display for F10.94. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is F10.94 an HCC code?
Yes. F10.94 (Alcohol use, unspecified with alcohol-induced mood disorder) maps to HCC 139, Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.242. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.
Coder answer: F10.94 is billable and maps to V28 HCC 139, Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.
- Code
- F10.94
- Description
- Alcohol use, unspecified with alcohol-induced mood disorder
- HCC (V28)
- HCC 139 — Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications
- RAF reference coefficient
- 0.242
- Billable
- Yes
- Payment year
- 2026
HCC Category Mapping
These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.
Work F10.94 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →
MEAT review for F10.94
For F10.94, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.
- 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
Coder workflow notes
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What This Code Means
F10.94 is the ICD-10-CM diagnosis code for alcohol use, unspecified with alcohol-induced mood disorder. A condition where someone uses alcohol in an unspecified pattern and develops mood problems such as depression or bipolar disorder as a direct result of the alcohol use. F10.94 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, F10.94 maps to Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications (HCC 139) with a source-labeled community, non-dual, aged reference coefficient of 0.242. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.
Verify documentation clearly links the mood disorder to alcohol use rather than a pre-existing condition. For F10.94, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. 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, source-labeled coefficient references, and MEAT documentation criteria for F10.94 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
Clinical Significance
Alcohol-induced mood disorder in the context of unspecified alcohol use indicates that alcohol consumption is directly causing depressive or manic symptoms. This is clinically important because it differentiates substance-induced psychiatric symptoms from primary mood disorders, affecting treatment approach and prognosis. For risk adjustment, it captures the complexity of co-occurring substance use and psychiatric morbidity.
Documentation Requirements
- ✓Provider statement explicitly linking mood disorder to alcohol use (not a pre-existing mood condition)
- ✓Description of mood symptoms (depression, mania, irritability, emotional lability)
- ✓Temporal relationship between alcohol use and onset of mood symptoms
- ✓Assessment distinguishing alcohol-induced mood disorder from independent major depressive disorder or bipolar disorder
- ✓Current alcohol use pattern documentation
Commonly Confused Codes
- •F10.14: Alcohol abuse with alcohol-induced mood disorder: use when abuse pattern is documented
- •F10.24: Alcohol dependence with alcohol-induced mood disorder: use when dependence is established
- •F32.9: Major depressive disorder, single episode, unspecified: use when depression is NOT alcohol-induced
- •F31.9: Bipolar disorder, unspecified: use when bipolar is a primary diagnosis unrelated to alcohol