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.
Check F10.951 with the rest of the claim: free scrubberOther codes that can never be billed with F10.951
Their own Excludes1 notes name this code, so the conflict is not listed above.
- 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
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 one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- Alcohol, alcoholic, alcohol-induced›hallucinosis(acute)
- Hallucinosis›alcoholic(acute)
- Psychosis, psychotic›alcoholic›with›hallucinosis
- Disorder›alcohol-related›with›psychotic disorder›with›hallucinations
Code history
Unchanged in every release from FY2024 to FY2027.