F10.182: Alcohol abuse with alcohol-induced sleep disorder

Risk adjustment

F10.182 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

• HCC 139 Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications0.242 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

F10.182 is named in 8 Medicare coverage policies: 7 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.

• A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
• A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
• A56923Billing and Coding: Outpatient Sleep Studies
• A57130Billing and Coding: Psychiatric Codes