ICD 10 Coding Alert
Don't Overlook Different Code Choices for Alcohol Induced Psychosis in ICD-10
Question: Our psychiatrist recently saw a patient for psychosis. The patient had a chronic history of alcoholism and a history of alcohol use for the past 15 years. Our clinician noted a family history of alcohol use. There is no family history of psychiatric problems. The diagnosis our clinician arrived at was alcohol induced psychosis. What codes should I use to report this diagnosis?
Maryland Subscriber
Answer: When reporting a diagnosis of alcohol induced psychosis with ICD-9 codes, you will have to report it with 291.3 (Alcohol-induced psychotic disorder with hallucinations). When patients present with alcohol related factors that influence their health status, you should consider adding a V code to describe that scenario.
Since the patient has a personal history of alcoholism and a family history of alcohol use, you can look at the following V codes to report along with the diagnosis:
ICD-10: When you begin using ICD-10 codes after Oct.1, 2015, you will have to consider reporting the following equivalents instead of the above mentioned codes:
Reminder: Alternatively, you can also consider using F10.151 (Alcohol abuse with alcohol-induced psychotic disorder with hallucinations) or F10.951 (Alcohol use, unspecified with alcohol-induced psychotic disorder with hallucinations) for a crosswalk from 291.3. However, this depends on the status of present and past alcohol use and level of intoxication when your clinician was seeing the patient.
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