F10.19 — Alcohol abuse with unspecified alcohol-induced disorder
F10.19 is a billable, specific ICD-10-CM code for alcohol abuse with unspecified alcohol-induced disorder. It is valid for submission on a claim.
Risk adjustment
F10.19 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
F10.19 is named in 10 Medicare coverage policies — 9 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
- A56937Billing and Coding: Psychiatry and Psychology Services
- A57052Billing and Coding: Psychiatric Inpatient Hospitalization
How F10.19 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F10.19.
- Abuse›alcohol›with›unspecified disorder
Related codes at this level
Codes that share F10.1. If F10.19 is not quite right, the correct code is usually one of these.
- F10.10Alcohol abuse, uncomplicated
- F10.11Alcohol abuse, in remission
- F10.12Alcohol abuse with intoxication
- F10.13Alcohol abuse, with withdrawal
- F10.14Alcohol abuse with alcohol-induced mood disorder
- F10.15Alcohol abuse with alcohol-induced psychotic disorder
- F10.18Alcohol abuse with other alcohol-induced disorders
Questions about F10.19
- Is F10.19 a billable ICD-10-CM code?
- Yes. F10.19 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F10.19 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental and behavioral disorders due to psychoactive substance use (F10-F19).