ICD Code F10.239

ICD code F10.239 is used to classify a condition where an individual is experiencing withdrawal symptoms due to alcohol dependence, but the specific details of the withdrawal symptoms are not specified. This code helps healthcare providers document and communicate the diagnosis for treatment 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 symptoms of alcohol withdrawal, which may include tremors, sweating, nausea, vomiting, anxiety, agitation, and, in severe cases, seizures or delirium tremens.

3. Unspecified Withdrawal: The specific type of withdrawal symptoms is not detailed or categorized into more specific conditions such as delirium or seizures, indicating a general withdrawal state.

4. Clinical Evaluation: A healthcare provider has conducted a thorough clinical evaluation to confirm the presence of alcohol dependence and withdrawal symptoms, ensuring that these symptoms are not attributable to another medical condition or substance use.

5. Impact on Daily Functioning: The withdrawal symptoms significantly impact the patient's ability to function in daily activities, such as work, social interactions, or self-care.

6. Absence of Other Diagnoses: The symptoms are not better explained by another mental health disorder or medical condition, ensuring that the diagnosis is specific to alcohol dependence with withdrawal.

7. Treatment Consideration: The diagnosis is used to guide treatment planning, which may include medical management of withdrawal symptoms, counseling, and support for long-term recovery from alcohol dependence.

For the ICD code F10.239, which pertains to alcohol dependence with withdrawal, unspecified, the relevant CPT codes that may be applicable 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. 99234-99236: Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date.

4. H0014: Alcohol and/or drug services; ambulatory detoxification.

5. H0004: Behavioral health counseling and therapy, per 15 minutes.

6. H0005: Alcohol and/or drug services; group counseling by a clinician.

These CPT codes are often used in conjunction with ICD code F10.239 to document and bill for the appropriate treatment services provided to patients experiencing alcohol dependence with withdrawal. It is important for healthcare providers to select the most accurate CPT code based on the specific services rendered.

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and identifying underpayments for CPT codes related to ICD code F10.239. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.