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Coding Corner: Provide clear, accurate documentation for alcohol use disorder

BCBS Michigan·MI · Family Medicine, Internal Medicine, Psychiatry +1 more·Coding
Effective date
Not stated
We identified it
Jun 16, 2026
Days to comply

Summary

BCBS Michigan issued new documentation guidelines for alcohol use disorder coding, requiring providers to use specific diagnostic terms (alcohol use, abuse, dependence) with clear status indicators (continuous, episodic, remission) rather than vague behavioral descriptions. Social history alone cannot support diagnosis coding without formal diagnostic documentation.

Action Required

Action needed
Immediately: Providers must update documentation practices for alcohol use disorder to include specific diagnostic terms (alcohol use, abuse, dependence) with current status (continuous, episodic, in remission). Update EMR templates to prompt for formal diagnosis rather than behavioral descriptions. Train clinical staff to distinguish between social history documentation and billable diagnoses to ensure accurate code assignment.