F10.982
BillableAlcohol use, unspecified with alcohol-induced sleep disorder
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is F10.982 an HCC code?
Yes. F10.982 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 F10.982
For F10.982 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 F10.982 during that encounter — not just copy-forwarded from a problem list.
What This Code Means
F10.982 is the ICD-10-CM diagnosis code for alcohol use, unspecified with alcohol-induced sleep disorder. Sleep problems such as insomnia, excessive sleepiness, or disrupted sleep patterns that are caused by alcohol use. F10.982 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, F10.982 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, F10.982 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 sleep disturbance and whether it occurs during drinking, withdrawal, or both. Because F10.982 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 F10.982 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document the specific sleep disturbance and whether it occurs during drinking, withdrawal, or both
- •Note that alcohol may initially help sleep but typically disrupts sleep architecture and causes poor quality sleep
Clinical Significance
Alcohol-induced sleep disorder captures sleep disturbances directly caused by alcohol use, including insomnia, fragmented sleep, and disrupted sleep architecture. Although alcohol may initially promote sleep onset, chronic use significantly impairs sleep quality. This diagnosis is important for treatment planning and risk adjustment as it reflects the systemic impact of alcohol use.
Documentation Requirements
- ✓Provider documentation of specific sleep disturbance (insomnia, hypersomnia, parasomnia)
- ✓Statement attributing the sleep disorder to alcohol use
- ✓Alcohol use history and pattern
- ✓Assessment distinguishing alcohol-induced sleep problems from primary sleep disorders
- ✓Documentation of whether symptoms occur during active drinking, withdrawal, or both
- ✓Sleep study results if available