F18.250

Billable

Inhalant dependence with inhalant-induced psychotic disorder with delusions

HCC Category Mapping

V28HCC 135 — Drug/Alcohol Psychosis

0.000

V24HCC 54 — Drug/Alcohol Psychosis

0.434

ESRDHCC 54 — Drug/Alcohol Psychosis

0.000

What This Code Means

A person who is dependent on inhalants and has developed a psychotic disorder with delusions (false beliefs) directly caused by the inhalant use.

Coding Tips

•Document the specific delusions present and their relationship to inhalant use
•Distinguish between inhalant-induced psychosis and primary psychotic disorders

Clinical Significance

Inhalant dependence with induced psychotic disorder with delusions is a severe presentation indicating that chronic inhalant use has caused both physiological dependence and substance-induced psychosis with prominent delusional thinking. This represents significant neurotoxic damage and maps to the highest substance use HCC.

Documentation Requirements

✓Documentation of inhalant dependence
✓Specific documentation of delusions (type and content of false beliefs)
✓Provider statement linking psychosis to inhalant use
✓Mental status examination with detailed psychotic symptom assessment
✓Differentiation from primary psychotic disorders (schizophrenia, delusional disorder)
✓Brain imaging if available (inhalant-related white matter damage)
✓Dual treatment plan for dependence and psychosis

Commonly Confused Codes

F18.251 — With hallucinations; use when hallucinations predominate F18.259 — Unspecified psychotic disorder; less specific about psychotic features F18.150 — Inhalant abuse with psychotic disorder with delusions; use for abuse not dependence F20.0 — Paranoid schizophrenia; use for primary psychosis

Code Hierarchy

└F18.250Inhalant dependence with inhalant-induced psychotic disorder with delusions