F10.950
BillableAlcohol use, unspecified with alcohol-induced psychotic disorder with delusions
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 serious mental condition where alcohol use causes psychotic symptoms, specifically false beliefs or delusions that feel completely real to the person.
Coding Tips
- •Document the specific delusions present and their temporal relationship to alcohol consumption
- •Distinguish between alcohol-induced psychosis and primary psychotic disorders by confirming symptoms emerge during or shortly after alcohol use
Clinical Significance
Alcohol-induced psychotic disorder with delusions represents a severe psychiatric complication where alcohol consumption causes fixed false beliefs. This condition requires urgent psychiatric evaluation and indicates significant neurological impact from alcohol use. It carries higher clinical resource utilization than non-psychotic alcohol disorders.
Documentation Requirements
- ✓Provider documentation of specific delusions (paranoid, grandiose, persecutory, etc.)
- ✓Temporal relationship establishing delusions emerged during or shortly after alcohol use
- ✓Clinical assessment ruling out primary psychotic disorders (schizophrenia, schizoaffective disorder)
- ✓Documentation of alcohol use pattern
- ✓Mental status examination findings supporting psychotic features
- ✓Treatment plan addressing both psychosis and alcohol use
Commonly Confused Codes
F10.951 — Alcohol use, unspecified with psychotic disorder with hallucinations: use when hallucinations (not delusions) are the primary psychotic featureF10.959 — Alcohol use, unspecified with psychotic disorder, unspecified: use when the type of psychosis is not specifiedF10.250 — Alcohol dependence with psychotic disorder with delusions: use when alcohol dependence is documentedF22 — Delusional disorders: use when delusions are NOT substance-induced
Code Hierarchy
└F10Alcohol related disorders└F10.9Alcohol use, unspecified└F10.95Alcohol use, unspecified with alcohol-induced psychotic disorder└F10.950Alcohol use, unspecified with alcohol-induced psychotic disorder with delusions
└F10.950Alcohol use, unspecified with alcohol-induced psychotic disorder with delusions