Alcohol dependence with alcohol-induced anxiety disorder

This code signifies a patient diagnosed with a persistent and problematic pattern of alcohol use leading to clinically significant impairment or distress, specifically manifesting with anxiety symptoms directly caused by alcohol intoxication or withdrawal. The anxiety is not better explained by another mental disorder and resolves with sustained abstinence.

Apply this code when documentation clearly indicates a diagnosis of alcohol dependence and a co-occurring anxiety disorder that is directly attributable to the physiological effects of alcohol. This is typically supported by a psychiatric evaluation, substance use disorder assessment, and a clear temporal relationship between alcohol use/withdrawal and the onset/exacerbation of anxiety symptoms.

• Ensure documentation explicitly links the anxiety disorder to alcohol use; otherwise, a separate anxiety disorder code may be more appropriate.
• Distinguish from F10.288 (Alcohol dependence with other alcohol-induced mental disorder) if the primary alcohol-induced mental disorder is not anxiety.
• Consider sequencing this code as the primary diagnosis if the alcohol dependence and its associated anxiety are the main reason for the encounter.