Last Updated on October 20, 2025
Alcohol Use Disorder (DSM): DSM‑5 Criteria, DSM‑5 Codes, and What They Mean
At‑a‑Glance: Key Takeaways
- AUD is a medical condition defined by DSM‑5‑TR with 11 criteria and severity based on the number of symptoms.
- Codes you’ll see: F10.10 (mild), F10.11 (mild in remission), F10.20 (moderate/severe), F10.21 (moderate/severe in remission).
- Specifiers track progress: early vs. sustained remission; “in a controlled environment.”
- Treatment works—medications, therapy, and support can help most people reduce or stop drinking.
Table of Contents
Alcohol use disorder touches both addiction and mental health. If you’re researching the alcohol use disorder DSM framework for yourself, a loved one, or your practice, this guide breaks down the criteria for alcoholism, explains the alcohol use disorder DSM 5 code set clinicians use, and shows how screening, diagnosis, and treatment fit together. You’ll also find compassionate, plain‑language explanations and next steps if you’re ready for help. If you’re in Central Texas, start safely at our alcohol detox center in Austin before stepping into inpatient or IOP.
What is Alcohol Use Disorder in DSM‑5‑TR?
Alcohol Use Disorder (AUD) is defined in the DSM‑5‑TR as a medical condition marked by a pattern of alcohol use that causes clinically significant impairment or distress. It’s diagnosed on a spectrum—mild, moderate, or severe—based on how many diagnostic symptoms are present in the past 12 months. This dimensional approach replaced the older “abuse vs. dependence” split and reflects the reality that problems can worsen or improve over time.
From a patient’s perspective, that means you don’t have to “hit bottom” to meet criteria. Conversely, progress is measurable as symptoms reduce with care and time. Major medical references and health systems explain AUD similarly and emphasize that effective treatments exist.
DSM‑5 Criteria for Alcoholism (11 Symptoms)
Below is a plain‑English summary of the 11 DSM‑5 criteria for alcoholism (AUD). A diagnosis requires at least 2symptoms within a 12‑month period. The more symptoms present, the higher the severity.
The 11 criteria
- Larger/longer use than intended — drinking more or for longer than planned.
- Persistent desire or unsuccessful cut‑downs — repeated attempts to cut back without success.
- Time spent — a lot of time getting, using, or recovering from alcohol.
- Craving — a strong urge or desire to drink.
- Role failures — drinking interferes with home, work, or school obligations.
- Social/interpersonal problems — continued use despite conflicts or harm to relationships.
- Activities given up — hobbies, social or occupational activities are reduced or abandoned.
- Physically hazardous use — drinking in situations that raise the risk of harm.
- Use despite health problems — continued drinking despite knowing it worsens a physical or mental health condition.
- Tolerance — needing more to get the same effect or noticing less effect with the same amount.
- Withdrawal — experiencing withdrawal symptoms, or drinking to relieve or avoid them.
How many “criteria for alcoholism” are needed?
2–3 symptoms = Mild; 4–5 = Moderate; 6+ = Severe. These thresholds are consistent across leading clinical references.
Specifiers you’ll see on charts (remission & setting)
Clinicians also add specifiers:
- Early remission: no criteria (except craving) met for ≥3 months but <12 months after previously meeting full AUD criteria.
- Sustained remission: no criteria (except craving) for ≥12 months.
- In a controlled environment: access to alcohol is restricted (e.g., hospital or incarceration).
These specifiers help document progress. They don’t erase prior history; they show where someone is now in the recovery arc.
Freedom Starts Here. Take Back Your Life Today.
Same-Day Admissions in Austin Available.
DSM‑5 / ICD‑10‑CM Codes for Alcohol Use Disorder
Your EHR or bill often displays ICD‑10‑CM codes that correspond to DSM‑5‑TR diagnoses. For alcohol use disorder DSM 5 code mapping, the American Psychiatric Association lists:
- F10.10 — Alcohol Use Disorder, mild
- F10.11 — Alcohol Use Disorder, mild, in early or sustained remission
- F10.20 — Alcohol Use Disorder, moderate or severe
- F10.21 — Alcohol Use Disorder, moderate or severe, in early or sustained remission.
Why it matters: these codes align clinical assessment with documentation and coverage. If you’re a patient reading your chart, this is simply the administrative side of your care plan.
Screening vs. Diagnosis (and why both matter)
Screening spots risky drinking quickly; diagnosis confirms AUD using DSM‑5‑TR criteria. In primary care, tools like AUDIT‑C, the Single‑Item Screen, or the full AUDIT can flag concern and guide next steps. If screening is positive, a clinician uses the 11 criteria above to determine presence and severity of AUD.
This two‑step approach is practical: quick questions open the door; a careful evaluation sets the right level of care.
How AUD is Treated (Evidence‑Based Options)
Treatments work, and most people improve with time and support. Care is tailored to severity, health status, goals, and preferences.
Medications that help
Several medications reduce cravings or support abstinence (often alongside counseling):
- Naltrexone (oral or extended‑release), acamprosate, and in selected cases disulfiram.
- Other agents (e.g., gabapentin, topiramate) may be considered by specialists.
Therapies and supports
- Motivational interviewing, CBT, and contingency management help people change patterns and stick with goals.
- Mutual‑help groups (AA and secular alternatives) and family‑involved approaches build social support.
- Outpatient care suits many; inpatient/residential settings are reserved for severe or complex cases, or when safety requires close monitoring.
Withdrawal safety
Some people—especially with moderate to severe AUD—may need short‑term withdrawal management before starting long‑term treatment. Doctors use validated tools and, when indicated, medications (often benzodiazepines) to keep you safe during acute withdrawal.
Living With AUD: Progress, Setbacks, and Remission
Recovery is a process. People often reduce harm first—fewer heavy‑drinking days, safer patterns—then build toward abstinence if that’s their goal. Clinicians can document early or sustained remission to recognize milestones. Even if relapse happens, it becomes information for adjusting the plan, not a moral judgment.
Get Alcohol Use Disorder Treatment Today
At Nova Recovery Center, we understand how overwhelming it can feel to face an alcohol use disorder diagnosis based on DSM-5 criteria. Our team uses these clinical guidelines to build treatment plans that are both evidence-based and personalized, ensuring every client gets the level of care they need. Whether someone is experiencing mild, moderate, or severe symptoms, we provide a full continuum of support—from safe detox to inpatient rehab, outpatient programs, and sober living. We know that behind every DSM-5 diagnosis of alcohol addiction is a person with unique challenges, strengths, and goals, and we tailor recovery approaches accordingly. Our licensed professionals combine therapy, education, peer support, and relapse prevention strategies to address both the physical and emotional aspects of alcohol abuse. At Nova, clients also benefit from a holistic approach that strengthens mind, body, and spirit, helping them reclaim balance and stability. With compassion and expertise, we guide individuals through every stage of recovery, from early remission to long-term sobriety. Most importantly, we walk alongside families too, offering resources and support that make recovery a shared journey rather than an isolated struggle.
Frequently Asked Questions About Alcohol Use Disorder DSM-5 Criteria, Codes, and Diagnosis
Is “alcoholism” the same as AUD?
“Alcoholism” is a common term, but Alcohol Use Disorder is the clinical diagnosis. Using the diagnostic term can reduce stigma and clarify treatment pathways.
Did DSM‑5‑TR change the criteria?
DSM‑5 (2013) introduced the 11‑symptom spectrum and added craving; DSM‑5‑TR continues that framework and clarifies language. The severity thresholds (2–3, 4–5, 6+) are unchanged.
What if I meet only two criteria?
Two criteria already indicate mild AUD. Early intervention helps prevent progression and protects health and relationships. Primary care and specialty clinics can help you plan next steps.
What are the 11 DSM‑5 criteria for Alcohol Use Disorder?
DSM‑5‑TR lists 11 symptoms across four domains: impaired control (e.g., drinking more/longer than intended; unsuccessful cut‑downs; much time spent; craving), social impairment (role failures; relationship problems; giving up activities), risky use (hazardous use; continued use despite health issues), and pharmacologic criteria (tolerance; withdrawal). Meeting ≥2 within 12 months qualifies for AUD.
How many symptoms indicate mild, moderate, or severe AUD?
Severity is based on the count met in the past year: mild (2–3), moderate (4–5), severe (6+).
What ICD‑10‑CM codes map to DSM‑5 Alcohol Use Disorder?
DSM‑5 recommends: F10.10 (mild), F10.11 (mild, in remission), F10.20 (moderate or severe), and F10.21 (moderate/severe, in remission). (Note: ICD‑10‑CM code titles may still say “abuse/dependence”; DSM‑5 uses “use disorder.”)
What does “early remission” vs. “sustained remission” mean in DSM‑5?
After previously meeting full AUD criteria, early remission = no criteria (except craving) for ≥3 months but <12 months; sustained remission = no criteria (except craving) for ≥12 months. DSM research literature also uses “initial” and “stable” to further describe duration.
Did DSM‑5 change anything from DSM‑IV for alcohol diagnoses?
Yes. DSM‑5 merged “abuse” and “dependence” into AUD, added craving, removed “legal problems,” and introduced severity thresholds.
Who can diagnose Alcohol Use Disorder and how is it assessed?
A qualified health professional uses a clinical interview aligned to DSM‑5 criteria (12‑month window), often informed by screening tools and collateral information. Diagnosis is clinical; screeners alone aren’t sufficient.
What screening tools flag possible AUD before diagnosis?
Common instruments include the AUDIT/AUDIT‑C and brief screeners (e.g., CAGE). Positive screens prompt a DSM‑based assessment; screens themselves don’t diagnose.
Is “alcoholism” the same as Alcohol Use Disorder?
In clinical contexts, DSM‑5 uses Alcohol Use Disorder (AUD); it includes what many call “alcohol abuse,” “alcohol dependence,” or “alcoholism.”
Does DSM‑5 require tolerance or withdrawal to diagnose AUD?
No. Any combination of 2+ criteria within 12 months can support a diagnosis; tolerance and withdrawal are not required.
What does “in a controlled environment” mean, and does it change the code?
It’s a specifier indicating the person’s access to alcohol is restricted (e.g., residential treatment, jail). It does not change the ICD‑10‑CM code; you keep the same code and add the specifier in documentation.
Other Drug and Alcohol Rehab Locations
Medical Disclaimer
The information on this page is provided for educational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Alcohol use disorder and other mental health conditions should always be evaluated and managed by a qualified healthcare provider. Do not attempt to self-diagnose or make changes to your treatment plan without consulting a licensed medical professional. If you are experiencing withdrawal symptoms, severe side effects, or thoughts of self-harm, call 911 immediately in the United States or seek urgent medical care. For immediate mental health support, you can also dial 988 to connect with the Suicide & Crisis Lifeline, available 24/7.
Nova Recovery Center Editorial Guidelines
By instituting a policy, we create a standardized approach to how we create, verify, and distribute all content and resources we produce. An editorial policy helps us ensure that any material our writing and clinical team create, both online and in print, meets or exceeds our standards of integrity and accuracy. Our goal is to demonstrate our commitment to education and patient support by creating valuable resources within our realm of expertise, verifying them for accuracy, and providing relevant, respectful, and insightful data to our clients and families.
- National Institute on Alcohol Abuse and Alcoholism. (2025, May 8). Alcohol Use Disorder: From Risk to Diagnosis to Recovery. https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/alcohol-use-disorder-risk-diagnosis-recovery (Accessed September 23, 2025)
- American Psychiatric Association. DSM-5 Diagnoses and New ICD-10-CM Codes (2017). Psychiatry.org. https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/DSM/ICD10-Changes-Listed-by-ICD10-October-2017.pdf (Accessed September 23, 2025)
- American Psychiatric Association. 2017 DSM-5 Coding Updates (Alcohol Use Disorder Codes F10.10, F10.20, etc.). https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm/coding-updates/2017-coding-updates (Accessed September 23, 2025)
- Takahashi, T., Crane, C., & Sartor, C. E. (2017). Comparison of DSM-IV and DSM-5 criteria for alcohol use disorder.Addiction Science & Clinical Practice, 12(1). https://doi.org/10.1186/s13722-017-0082-0 (Accessed September 23, 2025)
- Mayo Clinic. (2022, May 18). Alcohol Use Disorder: Symptoms and Causes. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/alcohol-use-disorder/symptoms-causes/syc-20369243 (Accessed September 23, 2025)
