2027 ICD-10-CM Diagnosis Code F10.981Alcohol use, unspecified with alcohol-induced sexual dysfunction

ICD-10-CM Codes›F01–F99›F10-F19›F10

ICD-10-CM F10.981
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

F10.981 is a billable ICD-10-CM diagnosis code for alcohol use, unspecified with alcohol-induced sexual dysfunction. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 894 through 897. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 463 closely related codes. Coders also document this condition as alcohol-induced sexual dysfunction. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Alcohol-related disorders.

For Medicare Advantage risk adjustment, F10.981 maps to CMS-HCC Category 139 (Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications) under the V28 model, adding a risk factor of about 0.242 for a community, non-dual, aged beneficiary in payment year 2027.

Code Identity

ICD-10-CM Code
F10.981
Billable Status
Yes — Valid for Submission
Code Describes
Alcohol use, unspecified with alcohol-induced sexual dysfunction
Short Description
Alcohol use, unsp with alcohol-induced sexual dysfunction
Parent Code
Alcohol use, unspecified with other alcohol-induced disorders

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF10-F19Mental and behavioral disorders due to psychoactive substance use
CategoryF10Alcohol related disorders
This CodeF10.981Alcohol use, unspecified with alcohol-induced sexual dysfunction

Medicare Risk Adjustment (HCC)Billing

F10.981 maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2027.

CMS-HCC V28 Category (Payment Model)
HCC 139— Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications
Payment HCC · PY 2027 one of 27 ICD-10-CM codes in this category
Risk Adjustment Factor (RAF) Weight
+0.242
community, non-dual, aged · ranges 0.000–0.478 across segments
Hierarchy
Superseded by HCC 135, HCC 136, HCC 137, and HCC 138
a more severe related category takes the payment when both are reported
Prior Model (CMS-HCC V24)
HCC 55
V24 retired V28 pays 100% of MA risk scores since PY 2026
Other CMS Models
PACE (CMS-HCC V22): HCC 55 · ESRD (V21): HCC 55 · ESRD (V24): HCC 55
ESRD V21 weights: 0.048 dialysis, 0.112–0.352 functioning graft · ESRD V24 weights: 0.111 dialysis, 0.172–0.416 functioning graft
Part D (RxHCC)
Not mapped
F10.981 does not risk-adjust in the RxHCC prescription drug model

Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Alcohol-induced sexual dysfunction
  • Sexual dysfunction caused by drug
  • Sexual dysfunction caused by psychoactive substance

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to F10.981: its own notes plus those printed at F10.9, F10, and Chapter 5. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • disorders of psychological development

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Alcohol induced sexual dysfunction, without use disorder

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From F10.9 Alcohol use, unspecified applies to 20 codes

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From F10 Alcohol related disorders applies to 58 codes
  • code for blood alcohol level, if applicable (Y90.-)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name F10.981, its category, or a range that includes it.

Applicable To 1

These notes mention F10.981.

  • Z81.1 Family history of alcohol abuse and dependence
    Conditions classifiable to F10.- names F10.-, which includes this code

Excludes1 2

These codes carry an Excludes1 note naming F10.981: they are not reported together with it, unless the two conditions are unrelated.

  • F10.1 Alcohol abuse
    alcohol use, unspecified (F10.9-) names F10.9-, which includes this code
  • F10.2 Alcohol dependence
    alcohol use, unspecified (F10.9-) names F10.9-, which includes this code

Excludes2 2

These codes carry an Excludes2 note naming F10.981: its condition is not part of those codes, and both may be reported when the patient has both.

  • F44.0 Dissociative amnesia
    alcohol-or other psychoactive substance-induced amnestic disorder (F10, F13, F19 with .26, .96) names F10, which includes this code
  • 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.-) names F10, which includes this code

Code First 1

These codes say to code first a condition named in the note, and F10.981 is one of the conditions named.

  • Y90 Evidence of alcohol involvement determined by blood alcohol level
    any associated alcohol related disorders (F10) names F10, which includes this code

Use Additional Code 38

These codes say to use an additional code from the note, and F10.981 is one of the codes named.

  • C00 Malignant neoplasm of lip
    alcohol abuse and dependence (F10.-) names F10.-, which includes this code
  • C01 Malignant neoplasm of base of tongue
    alcohol abuse and dependence (F10.-) names F10.-, which includes this code
  • C02 Malignant neoplasm of other and unspecified parts of tongue
    alcohol abuse and dependence (F10.-) names F10.-, which includes this code
  • C03 Malignant neoplasm of gum
    alcohol abuse and dependence (F10.-) names F10.-, which includes this code
  • C04 Malignant neoplasm of floor of mouth
    alcohol abuse and dependence (F10.-) names F10.-, which includes this code
  • C05 Malignant neoplasm of palate
    alcohol abuse and dependence (F10.-) names F10.-, which includes this code
  • C06 Malignant neoplasm of other and unspecified parts of mouth
    alcohol abuse and dependence (F10.-) names F10.-, which includes this code
  • C07 Malignant neoplasm of parotid gland
    alcohol abuse and dependence (F10.-) names F10.-, which includes this code
  • C08 Malignant neoplasm of other and unspecified major salivary glands
    alcohol abuse and dependence (F10.-) names F10.-, which includes this code
  • C09 Malignant neoplasm of tonsil
    alcohol abuse and dependence (F10.-) names F10.-, which includes this code
  • C10 Malignant neoplasm of oropharynx
    alcohol abuse and dependence (F10.-) names F10.-, which includes this code
  • C14 Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx
    alcohol abuse and dependence (F10.-) names F10.-, which includes this code
  • C15 Malignant neoplasm of esophagus
    alcohol abuse and dependence (F10.-) names F10.-, which includes this code
  • C16 Malignant neoplasm of stomach
    alcohol abuse and dependence (F10.-) names F10.-, which includes this code
  • C22 Malignant neoplasm of liver and intrahepatic bile ducts
    alcohol abuse and dependence (F10.-) names F10.-, which includes this code

23 more Use Additional Code notes name this code. Browse all Use Additional Code notes.

Code Also 2

These codes say F10.981 may also be needed to fully describe the condition. The note gives no sequencing direction.

  • G31.2 Degeneration of nervous system due to alcohol
    associated alcoholism (F10.-) names F10.-, which includes this code
  • I42.6 Alcoholic cardiomyopathy
    presence of alcoholism (F10.-) names F10.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MBD017
Alcohol-related disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Alcohol-Related Disorders

    disorders related to or resulting from abuse or misuse of alcohol.

Patient EducationClinical

Alcohol

Many Americans drink alcohol at least occasionally. The Dietary Guidelines for Americans say that adults of legal drinking age should either not drink or drink in moderation. Drinking less is better for your health than drinking more. Also, there are some people who should not drink at all.

The full article covers:

  • How does alcohol affect the body?
  • Why are the effects of alcohol different from person to person?
  • What is moderate drinking?
  • What is a standard drink?
  • Who should not drink alcohol?
  • What is excessive drinking?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert F10.981 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
291.89 Alcohol mental disor NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About F10.981Overview

What is the ICD-10 code for alcohol use, unspecified with alcohol-induced sexual dysfunction?

The ICD-10-CM code for alcohol use, unspecified with alcohol-induced sexual dysfunction is F10.981 (sometimes written as F10981). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is F10.981 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report alcohol use, unspecified with alcohol-induced sexual dysfunction on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does F10.981 group to?

When alcohol use, unspecified with alcohol-induced sexual dysfunction is the principal diagnosis on an inpatient stay, it groups to MS-DRG 894, 897, 895, 896, with relative weights from 0.6272 to 1.6610 depending on complications. Higher weights mean higher Medicare reimbursement.

Is F10.981 a CC or MCC?

CMS lists F10.981 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 463 closely related codes in its exclusion list.

Can F10.981 be reported with a code from F10.1?

Not as a rule. The Excludes1 note at F10.9, which applies to F10.981, lists "alcohol abuse (F10.1-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What HCC is F10.981?

F10.981 (alcohol use, unspecified with alcohol-induced sexual dysfunction) maps to CMS-HCC Category 139 (Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications), commonly written as HCC 139, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2027. It mapped to HCC 55 under the retired V24 model. It also maps in the PACE (CMS-HCC V22), ESRD (V21), and ESRD (V24) models. It does not map to any RxHCC in the Part D prescription drug model.

Does F10.981 risk-adjust for Medicare Advantage payment?

Yes. When documented and reported on a Medicare Advantage encounter, F10.981 adds a risk adjustment factor of about 0.242 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.000 to 0.478 depending on the payment segment). A more severe related category (HCC 135, HCC 136, HCC 137, and HCC 138) supersedes it when both are reported. See the full factor table on the HCC 139 category page.