F10.951 — Alcohol use, unspecified with alcohol-induced psychotic disorder with hallucinations
F10.951 is a billable, specific ICD-10-CM code for alcohol use, unspecified with alcohol-induced psychotic disorder with hallucinations. It is valid for submission on a claim.
Other codes that can never be billed with F10.951
These codes carry an Excludes1 note pointing at F10.951. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F10.951 alone.
- R44Other symptoms and signs involving general sensations and perceptions
Risk adjustment
F10.951 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
F10.951 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
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
How F10.951 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 F10.951.
- Alcohol, alcoholic, alcohol-induced›hallucinosis(acute)
- Hallucinosis›alcoholic(acute)
- Psychosis, psychotic›alcoholic›with›hallucinosis
- Disorder›alcohol-related›with›psychotic disorder›with›hallucinations
Related codes at this level
Codes that share F10.95. If F10.951 is not quite right, the correct code is usually one of these.
Questions about F10.951
- Is F10.951 a billable ICD-10-CM code?
- Yes. F10.951 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F10.951 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).