Alcohol Use Disorder
Diagnostic Criteria
A. A problematic pattern of alcohol use leading to clinically significant impairment or distress, as
manifested by at least two of the following, occurring within a 12-month period:
1. Alcohol is often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
3.A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover
from its effects.
4. Craving, or a strong desire or urge to use alcohol.
5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or
home.
6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems
caused or exacerbated by the effects of alcohol.
7.Important social, occupational, or recreational activities are given up or reduced because of
alcohol use.
8.Recurrent alcohol use in situations in which it is physically hazardous.
9. Alcohol use is continued despite knowledge of having a persistent or recurrent physical or
psychological problem that is likely to have been caused or exacerbated by alcohol.
10. Tolerance, as defined by either of the following:
a. A need for markedly increased amounts of alcohol to achieve intoxication or desired effect.
b. A markedly diminished effect with continued use of the same amount of alcohol.
11.Withdrawal, as manifested by either of the following:
a. The characteristic withdrawal syndrome for alcohol (refer to Criteria A and B of the
criteria set for alcohol withdrawal, pp.499-500).
b. Alcohol (or a closely related substance, such as a benzodiazepine) is taken to relieve
or avoid withdrawal symptoms.
Specify if:
In early remission: After full criteria for alcohol use disorder were previously met, none of the
criteria for alcohol use disorder have been met for at least 3 months but for less than 12 months
, (with the exception that Criterion A4, “Craving, or a strong desire or urge to use alcohol,” may
be met).
In sustained remission: After full criteria for alcohol use disorder were previously met,none of
the criteria for alcohol use disorder have been met at any time during a period of 12 months or
longer (with the exception that Criterion A4,“Craving, or a strong desire or urge to use alcohol,"
may be met).
Specify if:
In a controlled environment: This additional specifier is used if the individual is in an
environment where access to alcohol is restricted.
Code based on current severity: Note for ICD-10-CM codes: If an alcohol intoxication, alcohol
withdrawal, or another alcohol-induced mental disorder is also present, do not use the codes
below for alcohol use disorder. Instead, the comorbid alcohol use disorder is indicated in the 4th
character of the alcohol-induced disorder code (see the coding note for alcohol intoxication,
alcohol withdrawal, or a specific alcohol-induced mental disorder). For example, if there is
comorbid alcohol intoxication and alcohol use disorder, only the alcohol intoxication code is
given, with the 4th character indicating whether the comorbid alcohol use disorder is mild,
moderate, or severe: F10.129 for mild alcohol use disorder with alcohol intoxication or F10.229
for a moderate or severe alcohol use disorder with alcohol intoxication.
Specify current severity:
305.00(F10.10) Mild: Presence of 2-3 symptoms.
303.90(F10.20) Moderate: Presence of 4-5 symptoms.
303.90(F10.20) Severe: Presence of 6 or more symptoms.
Opioid Use Disorder
Diagnostic Criteria
A.A problematic pattern of opioid use leading to clinically significant impairment or distress, as
manifested by at least two of the following, occurring within a 12-month period:
Diagnostic Criteria
A. A problematic pattern of alcohol use leading to clinically significant impairment or distress, as
manifested by at least two of the following, occurring within a 12-month period:
1. Alcohol is often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
3.A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover
from its effects.
4. Craving, or a strong desire or urge to use alcohol.
5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or
home.
6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems
caused or exacerbated by the effects of alcohol.
7.Important social, occupational, or recreational activities are given up or reduced because of
alcohol use.
8.Recurrent alcohol use in situations in which it is physically hazardous.
9. Alcohol use is continued despite knowledge of having a persistent or recurrent physical or
psychological problem that is likely to have been caused or exacerbated by alcohol.
10. Tolerance, as defined by either of the following:
a. A need for markedly increased amounts of alcohol to achieve intoxication or desired effect.
b. A markedly diminished effect with continued use of the same amount of alcohol.
11.Withdrawal, as manifested by either of the following:
a. The characteristic withdrawal syndrome for alcohol (refer to Criteria A and B of the
criteria set for alcohol withdrawal, pp.499-500).
b. Alcohol (or a closely related substance, such as a benzodiazepine) is taken to relieve
or avoid withdrawal symptoms.
Specify if:
In early remission: After full criteria for alcohol use disorder were previously met, none of the
criteria for alcohol use disorder have been met for at least 3 months but for less than 12 months
, (with the exception that Criterion A4, “Craving, or a strong desire or urge to use alcohol,” may
be met).
In sustained remission: After full criteria for alcohol use disorder were previously met,none of
the criteria for alcohol use disorder have been met at any time during a period of 12 months or
longer (with the exception that Criterion A4,“Craving, or a strong desire or urge to use alcohol,"
may be met).
Specify if:
In a controlled environment: This additional specifier is used if the individual is in an
environment where access to alcohol is restricted.
Code based on current severity: Note for ICD-10-CM codes: If an alcohol intoxication, alcohol
withdrawal, or another alcohol-induced mental disorder is also present, do not use the codes
below for alcohol use disorder. Instead, the comorbid alcohol use disorder is indicated in the 4th
character of the alcohol-induced disorder code (see the coding note for alcohol intoxication,
alcohol withdrawal, or a specific alcohol-induced mental disorder). For example, if there is
comorbid alcohol intoxication and alcohol use disorder, only the alcohol intoxication code is
given, with the 4th character indicating whether the comorbid alcohol use disorder is mild,
moderate, or severe: F10.129 for mild alcohol use disorder with alcohol intoxication or F10.229
for a moderate or severe alcohol use disorder with alcohol intoxication.
Specify current severity:
305.00(F10.10) Mild: Presence of 2-3 symptoms.
303.90(F10.20) Moderate: Presence of 4-5 symptoms.
303.90(F10.20) Severe: Presence of 6 or more symptoms.
Opioid Use Disorder
Diagnostic Criteria
A.A problematic pattern of opioid use leading to clinically significant impairment or distress, as
manifested by at least two of the following, occurring within a 12-month period:
