ICD Code F10.929

ICD code F10.929 is used to classify a condition where an individual has consumed alcohol and is experiencing intoxication, but the specifics of the alcohol use and the level of intoxication are not detailed. This code is typically used when the documentation does not provide enough information to specify the pattern or severity of alcohol use or intoxication.

1. Presence of Alcohol Use: The individual has consumed alcohol, but the specific pattern or frequency of use is not detailed.

2. Intoxication Symptoms: The individual exhibits signs of intoxication, which may include slurred speech, impaired coordination, unsteady gait, or nystagmus. However, the specific symptoms and severity are not clearly defined.

3. Lack of Specificity: The diagnosis is used when there is insufficient information to categorize the alcohol use or intoxication into more specific subtypes or severities.

4. Absence of Withdrawal Symptoms: There are no clear indications of withdrawal symptoms, which differentiates this from codes that specify withdrawal.

5. No Documentation of Dependence: The individual does not meet the criteria for alcohol dependence, as there is no evidence of a compulsive pattern of alcohol use or significant distress related to alcohol consumption.

6. Clinical Judgment: The healthcare provider uses clinical judgment to determine that the unspecified nature of both the alcohol use and intoxication is the most accurate representation of the patient's condition at the time of diagnosis.

For the ICD code F10.929, which pertains to alcohol use, unspecified with intoxication, unspecified, the relevant CPT codes that may be applicable for treatment and management include:

1. 99201-99215: Evaluation and Management (E/M) services for new or established patients, which may be used for office or other outpatient visits where alcohol use and intoxication are assessed and managed.

2. H0001: Alcohol and/or drug assessment, which involves a comprehensive evaluation of the patient's substance use.

3. H0004: Behavioral health counseling and therapy, per 15 minutes, which can be used for counseling sessions related to alcohol use.

4. H0005: Alcohol and/or drug services; group counseling by a clinician, which is applicable for group therapy sessions.

5. H0015: Alcohol and/or drug services; intensive outpatient treatment, which includes structured programming for individuals with substance use disorders.

6. 90832-90838: Psychotherapy codes, which can be used for individual psychotherapy sessions addressing alcohol use and related issues.

7. G0396: Alcohol and/or substance abuse structured assessment and brief intervention, 15 to 30 minutes.

8. G0397: Alcohol and/or substance abuse structured assessment and brief intervention, greater than 30 minutes.

These CPT codes are commonly used in the context of treating and managing conditions related to alcohol use and intoxication. It is important for healthcare providers to select the appropriate CPT code based on the specific services rendered and the clinical context.

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes related to ICD code F10.929. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.