F10.951
BillableAlcohol use, unspecified with alcohol-induced psychotic disorder with hallucinations
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 seeing, hearing, or sensing things that are not actually present.
Coding Tips
- •Clearly document the type of hallucinations (auditory, visual, tactile, etc.) in the medical record
- •Confirm the hallucinations are directly attributable to alcohol use and not another underlying psychiatric condition
Clinical Significance
Alcohol-induced psychotic disorder with hallucinations indicates alcohol use is causing false sensory perceptions, most commonly visual or auditory hallucinations. This is a serious complication that may occur during active intoxication or withdrawal and requires immediate clinical attention. It reflects high disease burden and resource utilization for risk adjustment purposes.
Documentation Requirements
- ✓Type of hallucinations documented (visual, auditory, tactile, olfactory)
- ✓Temporal relationship between alcohol use/withdrawal and hallucination onset
- ✓Provider statement that hallucinations are alcohol-induced, not from a primary psychiatric disorder
- ✓Mental status examination documenting psychotic features
- ✓Alcohol use history (frequency, quantity, duration)
- ✓Treatment and safety plan
Commonly Confused Codes
F10.950 — Alcohol use, unspecified with psychotic disorder with delusions: use when false beliefs, not false perceptions, are presentF10.931 — Alcohol use, unspecified with withdrawal delirium: use when hallucinations occur as part of delirium tremens during withdrawalF10.251 — Alcohol dependence with psychotic disorder with hallucinations: use when dependence is documentedF20.9 — Schizophrenia, unspecified: use only when psychosis is NOT alcohol-induced
Code Hierarchy
└F10Alcohol related disorders└F10.9Alcohol use, unspecified└F10.95Alcohol use, unspecified with alcohol-induced psychotic disorder└F10.951Alcohol use, unspecified with alcohol-induced psychotic disorder with hallucinations
└F10.951Alcohol use, unspecified with alcohol-induced psychotic disorder with hallucinations