F18.14
BillableInhalant abuse with inhalant-induced mood disorder
HCC Category Mapping
V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe
0.358V24HCC 55 — Drug/Alcohol Dependence
0.334ESRDHCC 55 — Drug/Alcohol Dependence
0.000What This Code Means
A person is abusing inhalants and has developed a mood disorder (such as depression or anxiety) caused by the inhalant use.
Coding Tips
- •Document that the mood disorder is directly induced by inhalant abuse, not a pre-existing condition
- •Do not assign a separate mood disorder code; the inhalant-induced nature is captured in this code
Clinical Significance
Inhalant abuse with induced mood disorder captures mood disturbances (depression, irritability, emotional lability) directly caused by inhalant use. Chronic inhalant exposure causes white matter damage and neurotransmitter disruption that can produce significant mood symptoms requiring both substance abuse and psychiatric treatment.
Documentation Requirements
- ✓Documentation of inhalant abuse
- ✓Specific mood symptoms documented (depressive, manic, irritable, mixed)
- ✓Provider statement that mood disorder is induced by inhalant use
- ✓Temporal link between inhalant exposure and mood disturbance onset
- ✓Neuropsychological assessment if available
- ✓Differentiation from primary mood disorders
Commonly Confused Codes
F18.24 — Inhalant dependence with induced mood disorder; use when dependence is documentedF18.94 — Inhalant use, unspecified with induced mood disorder; less specific use patternF32.9 — Major depressive disorder, unspecified; use for primary depression not substance-inducedF18.180 — Inhalant abuse with induced anxiety disorder; anxiety and mood are different categories
Code Hierarchy
└F18Inhalant related disorders└F18.1Inhalant abuse└F18.14Inhalant abuse with inhalant-induced mood disorder
└F18.14Inhalant abuse with inhalant-induced mood disorder