F18.151
BillableInhalant abuse with inhalant-induced psychotic disorder with hallucinations
HCC Category Mapping
V28HCC 135 — Drug/Alcohol Psychosis
0.000V24HCC 54 — Drug/Alcohol Psychosis
0.434ESRDHCC 54 — Drug/Alcohol Psychosis
0.000What This Code Means
A person is abusing inhalants and is experiencing psychosis with hallucinations (seeing, hearing, or sensing things that aren't real) caused by the inhalant use.
Coding Tips
- •Document the specific type of hallucinations (visual, auditory, tactile) when possible
- •This represents a serious psychiatric complication requiring immediate clinical attention
Clinical Significance
Inhalant abuse with induced psychotic disorder with hallucinations captures patients experiencing visual, auditory, or tactile hallucinations caused by inhalant neurotoxicity. Toluene and other volatile solvents are particularly associated with hallucinations. This maps to the higher psychosis HCC and indicates severe clinical complications.
Documentation Requirements
- ✓Documentation of inhalant abuse
- ✓Type of hallucinations specified (visual, auditory, tactile — visual most common with inhalants)
- ✓Provider statement linking hallucinations to inhalant use
- ✓Mental status examination documenting hallucinations
- ✓Assessment of insight — does the patient recognize hallucinations as abnormal
- ✓Neurological examination and brain imaging considerations
Commonly Confused Codes
F18.150 — With delusions; delusions are false beliefs, hallucinations are false perceptionsF18.121 — Inhalant abuse with intoxication delirium; delirium has altered consciousnessF18.251 — Inhalant dependence with psychotic disorder with hallucinations; use for dependenceF18.159 — Unspecified psychotic disorder; less specific about psychotic features
Code Hierarchy
└F18Inhalant related disorders└F18.1Inhalant abuse└F18.15Inhalant abuse with inhalant-induced psychotic disorder└F18.151Inhalant abuse with inhalant-induced psychotic disorder with hallucinations
└F18.151Inhalant abuse with inhalant-induced psychotic disorder with hallucinations