F10.981
BillableAlcohol use, unspecified with alcohol-induced sexual dysfunction
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is F10.981 an HCC code?
Yes. F10.981 maps to Alcohol Use Disorder under the CMS-HCC V28 risk adjustment model (and Drug/Alcohol Dependence under V24).
HCC Category Mapping
RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.
MEAT Criteria for F10.981
For F10.981 to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically — it has to be re-documented and supported each calendar year.
- 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
Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed F10.981 during that encounter — not just copy-forwarded from a problem list.
What This Code Means
F10.981 is the ICD-10-CM diagnosis code for alcohol use, unspecified with alcohol-induced sexual dysfunction. Sexual dysfunction or problems with sexual performance and desire that are caused by alcohol use. F10.981 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, F10.981 maps to Alcohol Use Disorder (HCC 139) with a community, non-dual, aged base RAF weight of 0.584. Under the older CMS-HCC V24 model, F10.981 maps to Drug/Alcohol Dependence (HCC 55) with a community, non-dual, aged base RAF weight of 0.334. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.
Document the specific type of sexual dysfunction (erectile dysfunction, decreased libido, etc.) when available. Because F10.981 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. 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, RAF weights, and MEAT documentation criteria for F10.981 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document the specific type of sexual dysfunction (erectile dysfunction, decreased libido, etc.) when available
- •Confirm the dysfunction is temporally related to alcohol use and not due to other medical or psychological causes
Clinical Significance
Alcohol-induced sexual dysfunction captures sexual performance or desire problems directly caused by alcohol use, including erectile dysfunction, decreased libido, and anorgasmia. This is a clinically meaningful diagnosis that affects quality of life and treatment planning. Proper documentation helps distinguish it from other causes of sexual dysfunction.
Documentation Requirements
- ✓Provider documentation of sexual dysfunction type (erectile dysfunction, decreased libido, anorgasmia)
- ✓Statement linking the sexual dysfunction to alcohol use
- ✓Alcohol use history and pattern
- ✓Assessment ruling out other causes (medications, vascular disease, hormonal disorders, psychological factors)
- ✓Temporal relationship between alcohol use and sexual dysfunction onset
Commonly Confused Codes
- •F10.181 — Alcohol abuse with alcohol-induced sexual dysfunction: use when abuse is documented
- •F10.281 — Alcohol dependence with alcohol-induced sexual dysfunction: use when dependence is documented
- •N52.9 — Male erectile dysfunction, unspecified: use when erectile dysfunction is NOT alcohol-induced
- •F52.0 — Hypoactive sexual desire disorder: use when decreased desire is NOT substance-induced