F10.27 Alcohol dependence with alcohol-induced persisting dementia

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applicable to

• Alcohol use disorder, moderate, with alcohol-induced major neurocognitive disorder, nonamnestic-confabulatory type
• Alcohol use disorder, severe, with alcohol-induced major neurocognitive disorder, nonamnestic-confabulatory type

Applies from F10 Alcohol related disorders

Use additional code

• code for blood alcohol level, if applicable (Y90.-)

Applies from F10.2 Alcohol dependence

Excludes1 (never code together)

• alcohol abuse (F10.1-)
• alcohol use, unspecified (F10.9-)

Excludes2 (not included here)

• toxic effect of alcohol (T51.0-)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 136 — Alcohol Use with Psychotic Complications
• CMS-HCC V22: HCC 54 — Drug/Alcohol Psychosis
• ESRD V24: HCC 54

MS-DRG index

Defines the logic of DRG(s) 894-897 in MDC 20.

Approximate ICD-9-CM (GEMs)

• 291.2 Alcohol-induced persisting dementia (approximate)

Code annotations containing back-references to F10.27

Back-references to F10.2

• Type 1 Excludes: F10.1 Alcohol abuse ("alcohol dependence (F10.2-)")
• Type 1 Excludes: F10.9 Alcohol use, unspecified ("alcohol dependence (F10.2-)")

Back-references to F10

• Use Additional: C00 Malignant neoplasm of lip ("alcohol abuse and dependence (F10.-)")
• Use Additional: C01 Malignant neoplasm of base of tongue ("alcohol abuse and dependence (F10.-)")
• Use Additional: C02 Malignant neoplasm of other and unspecified parts of tongue ("alcohol abuse and dependence (F10.-)")
• Use Additional: C03 Malignant neoplasm of gum ("alcohol abuse and dependence (F10.-)")
• Use Additional: C04 Malignant neoplasm of floor of mouth ("alcohol abuse and dependence (F10.-)")
• Use Additional: C05 Malignant neoplasm of palate ("alcohol abuse and dependence (F10.-)")
• Use Additional: C06 Malignant neoplasm of other and unspecified parts of mouth ("alcohol abuse and dependence (F10.-)")
• Use Additional: C07 Malignant neoplasm of parotid gland ("alcohol abuse and dependence (F10.-)")
• Use Additional: C08 Malignant neoplasm of other and unspecified major salivary glands ("alcohol abuse and dependence (F10.-)")
• Use Additional: C09 Malignant neoplasm of tonsil ("alcohol abuse and dependence (F10.-)")
• Use Additional: C10 Malignant neoplasm of oropharynx ("alcohol abuse and dependence (F10.-)")
• Use Additional: C14 Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx ("alcohol abuse and dependence (F10.-)")
• Use Additional: C15 Malignant neoplasm of esophagus ("alcohol abuse and dependence (F10.-)")
• Use Additional: C16 Malignant neoplasm of stomach ("alcohol abuse and dependence (F10.-)")
• Use Additional: C22 Malignant neoplasm of liver and intrahepatic bile ducts ("alcohol abuse and dependence (F10.-)")
• Use Additional: C25 Malignant neoplasm of pancreas ("alcohol abuse and dependence (F10.-)")
• Use Additional: C32 Malignant neoplasm of larynx ("alcohol abuse and dependence (F10.-)")
• Type 2 Excludes: F02 Dementia in other diseases classified elsewhere ("dementia in alcohol and psychoactive substance disorders (F10-F19, with .17, .27, .97)")
• Type 2 Excludes: F06 Other mental disorders due to known physiological condition ("other mental disorders associated with alcohol and other psychoactive substances (F10-F19)")
• Type 2 Excludes: F06.0 Psychotic disorder with hallucinations due to known physiological condition ("hallucinations and perceptual disturbance induced by alcohol and other psychoactive substances (F10-F19 with .151, .251, .951)")
• Type 2 Excludes: F06.2 Psychotic disorder with delusions due to known physiological condition ("alcohol and drug-induced psychotic disorder (F10-F19 with .150, .250, .950)")
• Type 2 Excludes: F06.3 Mood disorder due to known physiological condition ("mood disorders due to alcohol and other psychoactive substances (F10-F19 with .14, .24, .94)")
• Type 2 Excludes: F06.4 Anxiety disorder due to known physiological condition ("anxiety disorders due to alcohol and other psychoactive substances (F10-F19 with .180, .280, .980)")
• Type 2 Excludes: F44.0 Dissociative amnesia ("alcohol-or other psychoactive substance-induced amnestic disorder (F10, F13, F19 with .26, .96)")
• Type 2 Excludes: F55 Abuse of non-psychoactive substances ("abuse of psychoactive substances (F10-F19)")
• Type 2 Excludes: F63 Impulse disorders ("habitual excessive use of alcohol or psychoactive substances (F10-F19)")
• Type 2 Excludes: F63.1 Pyromania ("alcohol or psychoactive substance intoxication (F10-F19)")
• Code Also: G31.2 Degeneration of nervous system due to alcohol ("associated alcoholism (F10.-)")
• Use Additional: G31.84 Mild cognitive impairment of uncertain or unknown etiology ("alcohol abuse and dependence (F10.-)")
• Use Additional: G72.1 Alcoholic myopathy ("code to identify alcoholism (F10.-)")
• Code Also: I42.6 Alcoholic cardiomyopathy ("presence of alcoholism (F10.-)")
• Use Additional: I85 Esophageal varices ("alcohol abuse and dependence (F10.-)")
• Use Additional: K05 Gingivitis and periodontal diseases ("alcohol abuse and dependence (F10.-)")
• Use Additional: K11 Diseases of salivary glands ("alcohol abuse and dependence (F10.-)")
• Use Additional: K12 Stomatitis and related lesions ("alcohol abuse and dependence (F10.-)")
• Use Additional: K13 Other diseases of lip and oral mucosa ("alcohol abuse and dependence (F10.-)")
• Use Additional: K14 Diseases of tongue ("alcohol abuse and dependence (F10.-)")
• Use Additional: K20 Esophagitis ("alcohol abuse and dependence (F10.-)")
• Use Additional: K25 Gastric ulcer ("alcohol abuse and dependence (F10.-)")
• Use Additional: K26 Duodenal ulcer ("alcohol abuse and dependence (F10.-)")
• Use Additional: K27 Peptic ulcer, site unspecified ("alcohol abuse and dependence (F10.-)")
• Use Additional: K28 Gastrojejunal ulcer ("alcohol abuse and dependence (F10.-)")
• Use Additional: K29.0 Acute gastritis ("alcohol abuse and dependence (F10.-)")
• Use Additional: K29.2 Alcoholic gastritis ("alcohol abuse and dependence (F10.-)")
• Use Additional: K70 Alcoholic liver disease ("alcohol abuse and dependence (F10.-)")
• Use Additional: K86.0 Alcohol-induced chronic pancreatitis ("alcohol abuse and dependence (F10.-)")
• Use Additional: O99.31 Alcohol use complicating pregnancy, childbirth, and the puerperium ("code(s) from F10 to identify manifestations of the alcohol use")
• Type 1 Excludes: R41.3 Other amnesia ("amnestic syndrome due to psychoactive substance use (F10-F19 with 5th character .6)")
• Type 2 Excludes: R78 Findings of drugs and other substances, not normally found in blood ("mental or behavioral disorders due to psychoactive substance use (F10-F19)")
• Type 2 Excludes: T40 Poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics [hallucinogens] ("drug dependence and related mental and behavioral disorders due to psychoactive substance use (F10.-F19.-)")
• Type 2 Excludes: T42 Poisoning by, adverse effect of and underdosing of antiepileptic, sedative- hypnotic and antiparkinsonism drugs ("drug dependence and related mental and behavioral disorders due to psychoactive substance use (F10.--F19.-)")
• Type 2 Excludes: T43 Poisoning by, adverse effect of and underdosing of psychotropic drugs, not elsewhere classified ("drug dependence and related mental and behavioral disorders due to psychoactive substance use (F10.- -F19.-)")
• Code First: Y90 Evidence of alcohol involvement determined by blood alcohol level ("any associated alcohol related disorders (F10)")
• Use Additional: Z71.4 Alcohol abuse counseling and surveillance ("code for alcohol abuse or dependence (F10.-)")
• Use Additional: Z85 Personal history of malignant neoplasm ("alcohol use and dependence (F10.-)")

Diagnosis Index entries for F10.27

• Alcohol, alcoholic, alcohol-induced › brain syndrome, chronic › with dependence
• Alcohol, alcoholic, alcohol-induced › dementia › with dependence
• Alcohol, alcoholic, alcohol-induced › deterioration › with dependence
• Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety) › alcoholic › with dependence
• Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety) › in (due to) › alcohol › with dependence
• Dependence (on) (syndrome) › alcohol (ethyl) (methyl) (without remission) › with › dementia, persisting
• Disorder (of) › alcohol use › moderate or severe › with › alcohol-induced › major neurocognitive disorder, nonamnestic-confabulatory type
• Disorder (of) › cognitive › persisting › due to › alcohol › with dependence
• Psychosis, psychotic › alcoholic › with › dementia › with dependence

Nearby codes

• F10.25 Alcohol dependence with alcohol-induced psychotic disorder
• F10.250 Alcohol dependence with alcohol-induced psychotic disorder with delusions
• F10.251 Alcohol dependence with alcohol-induced psychotic disorder with hallucinations
• F10.259 Alcohol dependence with alcohol-induced psychotic disorder, unspecified
• F10.26 Alcohol dependence with alcohol-induced persisting amnestic disorder
• F10.27 Alcohol dependence with alcohol-induced persisting dementia (this code)
• F10.28 Alcohol dependence with other alcohol-induced disorders
• F10.280 Alcohol dependence with alcohol-induced anxiety disorder
• F10.281 Alcohol dependence with alcohol-induced sexual dysfunction
• F10.282 Alcohol dependence with alcohol-induced sleep disorder
• F10.288 Alcohol dependence with other alcohol-induced disorder