Is F10.26 a billable ICD-10-CM code?

Yes. F10.26 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does F10.26 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).

F10.26

F10.26 — Alcohol dependence with alcohol-induced persisting amnestic disorder

Billable / specific codeICD-10-CM

F10.26 is a billable, specific ICD-10-CM code for alcohol dependence with alcohol-induced persisting amnestic disorder. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Alcohol use disorder, moderate, with alcohol-induced major neurocognitive disorder, amnestic-confabulatory type
Alcohol use disorder, severe, with alcohol-induced major neurocognitive disorder, amnestic-confabulatory type

Risk adjustment

F10.26 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 136 Alcohol Use with Psychotic Complications0.424 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.

Medicare coverage

F10.26 is named in 12 Medicare coverage policies — 10 listing it as supporting medical necessity, and 2 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
A59718Billing and Coding: Opioid Treatment Programsnot covered
A56612Billing and Coding: CT of the Head
A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing

How F10.26 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 F10.26.

Alcohol, alcoholic, alcohol-induced›Korsakoff's, Korsakov's, Korsakow's
Korsakoff's›with dependence
Wernicke-Korsakoff's syndrome or psychosis›with dependence
Alcohol, alcoholic, alcohol-induced›amnestic disorder, persisting›with dependence
Alcoholism›Korsakov's›with dependence
Meynert's amentia›alcoholic›with dependence
Psychosis, psychotic›alcoholic›Korsakoff's, Korsakov's, Korsakow's
Syndrome›Korsakoff›alcoholic
Syndrome›Wernicke-Korsakoff›alcoholic
Amnes›induced by›alcohol›with dependence
Dependence›alcohol›with›amnestic disorder, persisting
Disease, diseased›Korsakoff's›alcoholic›with dependence

Related codes at this level

Codes that share F10.2. If F10.26 is not quite right, the correct code is usually one of these.

Questions about F10.26

Is F10.26 a billable ICD-10-CM code?: Yes. F10.26 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does F10.26 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).