ICD Code F10.231

ICD code F10.231 is used to classify a medical diagnosis of alcohol dependence accompanied by withdrawal delirium. This code indicates that the patient has a chronic condition of alcohol dependence and is experiencing severe withdrawal symptoms characterized by delirium, which may include confusion, agitation, and hallucinations. This code is crucial for healthcare providers to accurately document the patient's condition for treatment planning and billing purposes.

1. History of Alcohol Dependence: The patient has a documented history of alcohol dependence, characterized by a strong craving for alcohol, inability to control drinking, and continued use despite harmful consequences.

2. Withdrawal Symptoms: The patient exhibits withdrawal symptoms when alcohol use is reduced or stopped. These symptoms may include tremors, sweating, nausea, vomiting, anxiety, and insomnia.

3. Delirium: The patient experiences delirium, which is a severe disturbance in mental abilities resulting in confused thinking and reduced awareness of the environment. This may include disorientation, hallucinations, and severe agitation.

4. Temporal Relationship: The onset of delirium occurs during or shortly after the cessation or reduction of heavy and prolonged alcohol use.

5. Exclusion of Other Causes: Other potential causes of delirium, such as head injury, infection, or other substance use, have been ruled out through clinical evaluation.

6. Clinical Assessment: A thorough clinical assessment, including patient history and physical examination, supports the diagnosis of alcohol withdrawal delirium.

7. Severity of Symptoms: The symptoms are severe enough to require medical attention, often necessitating hospitalization or intensive monitoring.

8. Impact on Functioning: The delirium and associated symptoms significantly impair the patient's ability to function in daily life, affecting personal, social, or occupational activities.

For the ICD code F10.231, which is associated with alcohol dependence with withdrawal delirium, the relevant CPT codes that may be applicable for treatment include:

1. 99221-99223: Initial hospital care, per day, for the evaluation and management of a patient.
2. 99231-99233: Subsequent hospital care, per day, for the evaluation and management of a patient.
3. 99291-99292: Critical care, evaluation and management of the critically ill or critically injured patient, first 30-74 minutes.
4. H0014: Alcohol and/or drug services; ambulatory detoxification.
5. H0038: Self-help/peer services, per 15 minutes.
6. H0047: Alcohol and/or other drug abuse services, not otherwise specified.

These CPT codes are often used in conjunction with the treatment of conditions related to alcohol dependence with withdrawal delirium, as indicated by ICD code F10.231. It is important for healthcare providers to select the appropriate CPT codes based on the specific services rendered and the clinical scenario.

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