ICD-10 Code F10.131 – Alcohol abuse with withdrawal delirium (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F10.131 – Alcohol abuse with withdrawal delirium
What it is
F10.131 identifies alcohol abuse with withdrawal delirium, meaning a patient has alcohol-related misuse and develops delirium during withdrawal. Use it when documentation clearly links the delirium to alcohol withdrawal.
Clinical signs
Typical findings include acute confusion, disorientation, agitation, and fluctuating attention during alcohol withdrawal. Clinical features vary; refer to documentation for the specific delirium picture and any associated withdrawal symptoms.
When to use this code
Use this code when the provider documents alcohol abuse and states that withdrawal delirium is present. It is appropriate for encounters where the diagnosis is confirmed or clearly supported in the record. If the note only says withdrawal symptoms without delirium, check documentation.
Do not use for
Do not use this code for uncomplicated alcohol withdrawal or for alcohol dependence without abuse documentation. Also avoid it when delirium is due to another cause or the record does not connect it to alcohol withdrawal.
Coding tip
Confirm both the alcohol abuse diagnosis and the withdrawal delirium link in the provider note before assigning F10.131.