Alcohol Withdrawal ICD-10 Coding Guide

Also known as

  • Alcohol withdrawal syndrome
  • Ethanol withdrawal

Abbreviations

  • AWS
  • EtOH withdrawal

The ICD-10-CM code for alcohol withdrawal is F10.239 (Alcohol dependence with withdrawal, unspecified), a billable code reported when a patient with alcohol dependence presents with withdrawal and the specific type is not documented.

Primary codes

Billable

Billable

Extension

7th character

POA exempt

No

Coding risks

  • Assigning when documentation supports a more specific code

Code comparison

Compare key differences between related codes to select the most specific option.

CodeDescriptionScenario
F10.239Alcohol dependence with withdrawal, unspecifiedAlcohol dependence with withdrawal documented, but no specification of delirium, perceptual disturbance, or uncomplicated status.
F10.230Alcohol dependence with withdrawal, uncomplicatedAlcohol dependence with active withdrawal documented, no delirium or perceptual disturbance noted.
F10.231Alcohol dependence with withdrawal deliriumAlcohol dependence with withdrawal complicated by delirium tremens documented during the withdrawal episode.
F10.232Alcohol dependence with withdrawal with perceptual disturbanceAlcohol dependence in withdrawal with hallucinations or perceptual disturbances documented, without delirium.
F10.20Alcohol dependence, uncomplicatedAlcohol dependence documented without any current withdrawal symptoms or other specified complications.

Select the most specific code supported by the encounter documentation. More specific codes improve reimbursement accuracy and reduce audit risk.

Code ranges

Coding risks

Avoid these common coding issues when reporting Alcohol Withdrawal.

Impact

Assigning F10.239 without explicit dependence language may miscode as alcohol abuse with withdrawal (F10.13x) or use (F10.93x).

Mitigation

Consider querying the provider when use pattern is absent rather than inferring from CIWA scores or detox admission alone.

Differential codes

Alternative or commonly confused codes to consider when documentation suggests a different condition than the primary diagnosis.

Frequently asked questions

No. F10.1- and F10.2- carry an Excludes1 relationship, so only one alcohol use disorder severity may be coded per encounter.

References

Compiled from the following authoritative coding references. Last updated 2026-08-04.

Disclaimer

This page is compiled from authoritative coding references for educational and reference purposes only. It is not medical advice, billing authority, or an official source of ICD-10-CM guidelines. Always verify codes against the current CMS ICD-10-CM Official Guidelines, AHIMA guidance, and your organization’s coding policies. ICD-10-CM is updated annually on October 1.