ICD-10 code for alcohol dependence with alcohol-induced mood disorder

F10.24 is the ICD-10 code for alcohol dependence with alcohol-induced mood disorder.

This diagnosis identifies individuals with alcohol use disorder who experience mood disturbances directly caused by alcohol use, withdrawal, or intoxication.

Proper coding ensures appropriate treatment authorization and supports clinical care planning for this complex dual diagnosis.

Key features:

• Combines moderate to severe alcohol use disorder with substance-induced mood symptoms
• Mood symptoms must be directly related to alcohol use patterns rather than pre-existing psychiatric conditions
• Fourth character indicates severity of underlying alcohol dependence (mild, moderate, or severe)
• Requires careful timing assessment to distinguish from independent mood disorders

Diagnostic criteria for alcohol dependence with alcohol-induced mood disorder (F10.24)

Clinicians must establish both alcohol use disorder and substance-induced mood symptoms to assign F10.24.

The alcohol use disorder component requires at least two symptoms from the eleven-item criteria occurring within a twelve-month period.

These symptoms include:

• impaired control over alcohol consumption
• social and interpersonal problems related to drinking
• neglecting important activities due to alcohol use
• continued use despite physical or psychological consequences
• tolerance requiring increased amounts to achieve desired effects
• withdrawal symptoms when alcohol use stops or decreases

The mood disorder component must demonstrate a clear temporal relationship with alcohol use patterns.

Mood symptoms develop during intoxication, withdrawal, or within one month of significant alcohol exposure.

These symptoms cause clinically significant distress or functional impairment and exceed what would be expected from alcohol intoxication or withdrawal alone.

Key diagnostic requirements include:

• Prominent mood disturbance (depressed, elevated, or irritable mood)
• Symptoms develop during or shortly after alcohol intoxication or withdrawal
• Evidence from history, examination, or lab findings that symptoms are a direct result of alcohol use
• Symptoms cause significant distress or impairment in functioning
• Disturbance is not better explained by an independent mood disorder

The mood symptoms must not have preceded the onset of alcohol use and should not persist for extended periods during sustained abstinence, which would suggest an independent psychiatric condition rather than substance-induced presentation.

When to use F10.24 diagnosis code

Accurate differential diagnosis helps distinguish F10.24 from related conditions affecting individuals with alcohol problems. The timing and pattern of mood symptoms provides crucial diagnostic information.

F10.24 vs F10.20 (alcohol dependence, moderate to severe)

F10.24 specifically includes alcohol-induced mood disturbance, while F10.20 represents alcohol use disorder without concurrent substance-induced mental disorders.

When mood symptoms occur only during active alcohol use periods or withdrawal episodes, F10.24 provides more precise diagnostic coding.

The presence of significant mood symptoms that impact daily functioning distinguishes F10.24 from uncomplicated alcohol dependence. Clinicians should document whether depressive, manic, or mixed mood features predominate during alcohol-related episodes.

F10.24 vs F31.9 (bipolar disorder, unspecified)

F10.24 requires mood symptoms to be directly caused by alcohol, while F31.9 represents independent bipolar disorder that may coexist with substance use.

Timing becomes critical - mood episodes in F10.24 correlate closely with drinking patterns, whereas independent bipolar disorder continues during extended sobriety.

Individuals with F31.9 typically experience mood episodes that meet full criteria for major depressive or manic episodes, while F10.24 presentations may involve more variable or subsyndromal mood symptoms tied to substance use patterns.

F10.24 vs F32.9 (major depressive disorder, unspecified)

Substance-induced mood disorder (F10.24) develops in temporal relationship with alcohol use, while major depressive disorder represents an independent psychiatric condition.

Depression in F10.24 typically improves during sustained abstinence, whereas F32.9 requires separate psychiatric treatment regardless of substance use status.

Related ICD-10 codes

• F10.10 - Alcohol use disorder, mild
• F10.20 - Alcohol use disorder, moderate to severe
• F10.14 - Alcohol use disorder, mild, with alcohol-induced mood disorder
• F10.21 - Alcohol use disorder, moderate to severe, with intoxication
• F10.23 - Alcohol use disorder, moderate to severe, with withdrawal
• F10.25 - Alcohol use disorder, moderate to severe, with alcohol-induced psychotic disorder
• F10.26 - Alcohol use disorder, moderate to severe, with alcohol-induced persisting amnestic disorder
• F10.27 - Alcohol use disorder, moderate to severe, with alcohol-induced persisting dementia
• F10.29 - Alcohol use disorder, moderate to severe, with other alcohol-induced disorder

Interventions and CPT codes for alcohol dependence with alcohol-induced mood disorder

Treatment approaches must address both alcohol use disorder and mood symptoms simultaneously. Integrated care models show superior outcomes compared to treating each condition separately.

Psychotherapy interventions

Cognitive behavioral therapy forms the foundation of treatment for individuals with F10.24. This approach helps clients identify triggers for both alcohol use and mood episodes while developing healthy coping strategies.

CBT specifically targets the interconnected relationship between substance use and emotional regulation.

Motivational interviewing helps address ambivalence about changing drinking behaviors, particularly when clients may use alcohol to self-medicate mood symptoms.

This approach increases treatment engagement and preparation for change across both alcohol and mood-related goals.

Dialectical behavior therapy proves especially beneficial when emotional dysregulation drives alcohol use patterns. DBT teaches distress tolerance skills that reduce reliance on alcohol as an emotional coping mechanism.

Common psychotherapy CPT codes include:

• 90791 - Psychiatric diagnostic evaluation for comprehensive intake assessment
• 90834 - Psychotherapy, 45 minutes for individual CBT or motivational interviewing sessions
• 90837 - Psychotherapy, 60 minutes for intensive individual therapy sessions
• 90847 - Family psychotherapy with patient present for family-based interventions
• 90853 - Group psychotherapy for substance use disorder support groups

Screening and brief intervention

Structured screening helps identify alcohol-related problems and monitor mood symptoms during treatment. Regular assessment ensures appropriate treatment modifications as clients progress through recovery.

• 99408 - Alcohol screening and brief intervention, 15-30 minutes
• 99409 - Alcohol screening and brief intervention, greater than 30 minutes
• G0396 - Alcohol structured assessment and brief intervention, 15-30 minutes (Medicare)
• H0049 - Alcohol screening when using standardized instruments
• H0050 - Alcohol brief intervention, per 15 minutes (Medicaid plans)

Medication management

Pharmacological interventions may include both alcohol use disorder medications and mood stabilizers depending on symptom presentation. Close monitoring ensures medication effectiveness and identifies potential interactions.

• 90792 - Psychiatric diagnostic evaluation with medical services
• 90863 - Pharmacologic management during psychotherapy session
• 99213 - Established patient evaluation and management, low complexity
• 99214 - Established patient evaluation and management, moderate complexity

How Upheal improves F10.24 ICD-10 documentation

Clinical documentation platforms help behavioral health providers maintain accurate records while focusing on direct client care. Technology tools reduce administrative burden and improve diagnostic accuracy.

Suggesting appropriate ICD-10 codes based on session content

Documentation platforms analyze session notes to identify relevant diagnostic criteria and suggest appropriate codes. For F10.24 cases, this includes recognizing both alcohol use disorder symptoms and temporal patterns of mood disturbance.

Smart coding suggestions help clinicians distinguish between substance-induced mood symptoms and independent psychiatric conditions based on documented session content. This reduces coding errors and supports more accurate diagnosis.

Maintaining HIPAA-compliant records with proper diagnostic coding

Automated documentation systems ensure consistent code application while maintaining privacy protections. Proper diagnostic coding supports insurance authorization and continuity of care across treatment settings.

Integration with existing electronic health records maintains comprehensive treatment histories while reducing duplicate data entry. This streamlines clinical workflows and improves overall documentation quality.

Reducing administrative burden so you can focus on client care

Technology solutions automate routine documentation tasks, allowing clinicians to spend more time on direct therapeutic interventions. Reduced paperwork improves job satisfaction and prevents provider burnout.

Automated note generation based on session recordings ensures comprehensive documentation without interrupting therapeutic flow. This maintains strong therapeutic relationships while meeting compliance requirements.

Supporting clients with alcohol dependence and mood symptoms

Individuals with F10.24 face unique challenges requiring integrated treatment approaches.

The interplay between alcohol use and mood symptoms creates complex clinical presentations demanding specialized expertise.

Successful treatment addresses both conditions simultaneously rather than sequentially.

Clients benefit from understanding how alcohol affects their emotional regulation and learning alternative coping strategies.

The therapeutic relationship becomes especially important when treating dual diagnoses.

Trust and collaboration support long-term recovery by addressing underlying emotional needs that may drive substance use patterns.

Comprehensive documentation ensures continuity of care while technology platforms like Upheal help clinicians maintain accurate records without sacrificing therapeutic time.

Modern documentation tools recognize the complexity of dual diagnosis cases and support appropriate code selection based on clinical presentation.

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