F10.959

Billable

Alcohol use, unspecified with alcohol-induced psychotic disorder, unspecified

HCC Category Mapping

V28HCC 136 — Alcohol Use with Psychotic Complications

0.275

V24HCC 54 — Drug/Alcohol Psychosis

0.434

ESRDHCC 54 — Drug/Alcohol Psychosis

0.000

What This Code Means

A serious mental condition where alcohol use causes psychotic symptoms, but the specific type of psychosis is not clearly documented or specified.

Coding Tips

•Use this code only when the documentation does not specify whether delusions or hallucinations are present
•Query the provider for clarification on the specific psychotic features when possible to assign a more specific code

Clinical Significance

Alcohol-induced psychotic disorder, unspecified, captures cases where psychotic symptoms are present and linked to alcohol use but the specific manifestation is not documented. While clinically important, this unspecified code represents a documentation improvement opportunity since specificity enhances both clinical care and coding accuracy.

Documentation Requirements

✓Provider statement that psychotic symptoms are alcohol-induced
✓Documentation that psychosis is present but type (delusions vs. hallucinations) is not specified
✓Alcohol use pattern documentation
✓Mental status examination supporting psychotic features
✓Assessment ruling out primary psychotic disorders

Commonly Confused Codes

F10.950 — Alcohol use, unspecified with psychotic disorder with delusions: use when delusions are specifically documented F10.951 — Alcohol use, unspecified with psychotic disorder with hallucinations: use when hallucinations are specifically documented F10.259 — Alcohol dependence with psychotic disorder, unspecified: use when dependence is established F29 — Unspecified psychosis not due to a substance: use when psychosis is NOT alcohol-related

Code Hierarchy

└F10.959Alcohol use, unspecified with alcohol-induced psychotic disorder, unspecified