ICD-10 F10.20
Billable / Specific HCC v28: 55Alcohol dependence, uncomplicated
About ICD-10-CM F10.20
ICD-10-CM code F10.20 represents Alcohol dependence, uncomplicated. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F10). The 2026 edition of ICD-10-CM F10.20 became effective on October 1, 2025.
Coding Tips for F10.20
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
F10.20 is a CMS-HCC v28 risk-adjustment code (category 55). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under F10.20. Per CMS ICD-10-CM Tabular 2026.
- Alcohol use disorder, moderate
- Alcohol use disorder, severe
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for F10.20
Local Coverage Determinations (LCDs) from CMS MACs that list F10.20 as a covered diagnosis.
Showing top 10 of 344 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F10.20.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with F10.20
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 90837 Psychotherapy 60 min — same as 90834 plus substance use disorders, severe depression Psychiatry
- 90791 Psychiatric diagnostic evaluation — any mental health dx for initial assessment, suicidal ideation, hallucinations, antisocial behavior Psychiatry
- 90792 Psychiatric eval with medical services — schizophrenia, bipolar, MDD, anxiety, personality disorder, ASD, ADHD, substance use Psychiatry
- 90836 Psychotherapy 45 min add-on to E/M — anxiety, depression, PTSD, bipolar, OCD, BPD, substance use Psychiatry
- 90847 Family psychotherapy with patient — anxiety, depression, adjustment, relationship problems, substance use, eating disorder, conduct disorder, separation anxiety Psychiatry
- 96121 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
- 96137 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
- 96116 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
- 96132 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
- 90838 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
Convert F10.20 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| F10.20 | 30390 | 10000 |
| F10.20 | 30391 | 10000 |
| F10.20 | 30392 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To F10.20
Other codes in section F10-F19 (Mental and behavioral disorders due to psychoactive substance use).
ICD-10 F10.20, Billing FAQ
Is ICD-10 code F10.20 billable? +
Yes, F10.20 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to F10.20? +
ICD-10 F10.20 includes: Alcohol use disorder, moderate; Alcohol use disorder, severe.
Does F10.20 affect Medicare Advantage HCC risk adjustment? +
Yes. F10.20 maps to CMS-HCC v28 category 55. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What CPT codes are commonly billed with F10.20? +
Procedures frequently paired with F10.20 include: 90837, 90791, 90792, 90836, 90847.
What ICD-9 codes does F10.20 map to? +
Per CMS GEMs, F10.20 maps to ICD-9 codes: 30390, 30391, 30392. Useful for legacy data review and historical claim analysis.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team