ICD-10-CM Billable Code

F10.231

Alcohol dependence with withdrawal delirium

Clinical Classification Guidelines

Medical Intelligence & Overview

Alcohol dependence with withdrawal delirium, also known as delirium tremens (DTs), is a severe form of alcohol withdrawal that can occur in individuals who have developed a physical and psychological dependence on alcohol. This condition typically manifests after a significant decrease or cessation of alcohol consumption in someone with a long-term history of heavy drinking. Recognizing the signs and understanding the underlying causes are crucial for timely management and treatment, as withdrawal delirium can pose serious health risks if left untreated.

Causes & Symptoms

Clinical Causes: Prolonged and heavy alcohol consumption leading to physical dependence. Sudden reduction or stopping alcohol intake in dependent individuals. Inadequate management of alcohol withdrawal symptoms.

Key Symptoms: Severe confusion and disorientation Visual, auditory, or tactile hallucinations Agitation and restlessness Rapid heartbeat (tachycardia) High blood pressure Fever and sweating Seizures Delirium, including fluctuations in consciousness and attention

Diagnostic & Treatment

Diagnosis Path: Diagnosing alcohol dependence with withdrawal delirium involves a comprehensive clinical assessment. Healthcare providers evaluate the patient's history of alcohol use, look for physical signs of dependence, and observe neurological and psychological changes. Diagnostic criteria from the DSM-5 are often used to confirm alcohol withdrawal delirium, which include recent cessation of alcohol in a dependent individual and the presence of severe symptoms like hallucinations and disorientation. Laboratory tests may also be utilized to assess overall health status and rule out other causes of symptoms.

Treatment Protocols: Treatment aims to safely manage withdrawal symptoms and prevent complications. Approaches include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is F10.231 a billable ICD-10 code?
Yes, F10.231 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report F10.231?
Clinical documentation must specify the nature of Alcohol dependence with withdrawal delirium and any associated comorbidities for accurate reporting.

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