ICD-10 F10.288
Billable / Specific HCC v28: 55 CCAlcohol dependence with other alcohol-induced disorder
About ICD-10-CM F10.288
ICD-10-CM code F10.288 represents Alcohol dependence with other alcohol-induced disorder. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F10). The 2026 edition of ICD-10-CM F10.288 became effective on October 1, 2025.
Coding Tips for F10.288
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
F10.288 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.
F10.288 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under F10.288. Per CMS ICD-10-CM Tabular 2026.
- Alcohol use disorder, moderate, with alcohol-induced mild neurocognitive disorder
- Alcohol use disorder, severe, with alcohol-induced mild neurocognitive disorder
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.
Inpatient DRG Impact, CC
codes Alcohol dependence with other alcohol-induced disorder. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for F10.288
Local Coverage Determinations (LCDs) from CMS MACs that list F10.288 as a covered diagnosis.
Showing top 10 of 307 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F10.288.
2 Cigna
5 Medicare
CPT Codes Commonly Billed with F10.288
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 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
- G0177 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
- 96146 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
- 90846 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
- G0411 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
- 96112 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
Convert F10.288 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 |
|---|---|---|
| F10.288 | 29189 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To F10.288
Other codes in section F10-F19 (Mental and behavioral disorders due to psychoactive substance use).
ICD-10 F10.288, Billing FAQ
Is ICD-10 code F10.288 billable? +
Yes, F10.288 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 F10.288? +
ICD-10 F10.288 includes: Alcohol use disorder, moderate, with alcohol-induced mild neurocognitive disorder; Alcohol use disorder, severe, with alcohol-induced mild neurocognitive disorder.
Does F10.288 affect Medicare Advantage HCC risk adjustment? +
Yes. F10.288 maps to CMS-HCC v28 category 55. Capture this diagnosis annually for accurate Medicare Advantage risk score.
Is F10.288 a CC or MCC for inpatient DRG? +
Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What CPT codes are commonly billed with F10.288? +
Procedures frequently paired with F10.288 include: 96121, 96137, 96116, 96132, 90838.
What ICD-9 codes does F10.288 map to? +
Per CMS GEMs, F10.288 maps to ICD-9 codes: 29189. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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