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F10.97

Billable

Alcohol use, unspecified with alcohol-induced persisting dementia

HCC Category Mapping

V28HCC 136Alcohol Use with Psychotic Complications
0.275
V24HCC 54Drug/Alcohol Psychosis
0.434
ESRDHCC 54Drug/Alcohol Psychosis
0.000

What This Code Means

Progressive brain damage and cognitive decline caused by long-term heavy alcohol use, resulting in memory loss, confusion, and difficulty with daily functioning.

Coding Tips

  • Ensure documentation distinguishes alcohol-induced dementia from other types of dementia or age-related cognitive decline
  • Code the severity level if documented, and consider coding any associated behavioral or psychiatric symptoms separately

Clinical Significance

Alcohol-induced persisting dementia represents progressive, irreversible cognitive deterioration caused by chronic heavy alcohol use, affecting memory, executive function, judgment, and daily living skills. This is among the most severe complications of alcohol use and indicates a high level of ongoing care needs including possible long-term care placement.

Documentation Requirements

  • Provider diagnosis of alcohol-induced persisting dementia
  • Documentation of global cognitive decline (not just memory — must include impaired judgment, executive dysfunction, personality changes)
  • History of chronic heavy alcohol use establishing causal relationship
  • Cognitive assessment or neuropsychological testing results
  • Documentation that dementia persists after alcohol cessation
  • Functional status assessment and level of care needed
  • Assessment ruling out other dementia etiologies (Alzheimer disease, vascular, Lewy body)

Commonly Confused Codes

Code Hierarchy

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