F18.29
BillableInhalant dependence with unspecified inhalant-induced 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 dependent on inhalants with an unspecified mental or physical health problem caused by their inhalant use.
Coding Tips
- •This is a less specific code; use only when the specific inhalant-induced disorder cannot be determined
- •Attempt to obtain clarification on the type of disorder before defaulting to this unspecified code
Clinical Significance
This code captures an unspecified substance-induced disorder from inhalant dependence, where the specific nature of the complication is not documented. While less specific codes should be avoided when possible, this code still reflects that the substance use is causing identifiable clinical complications. Querying for additional specificity is recommended to support optimal risk adjustment.
Documentation Requirements
- ✓Provider documentation of inhalant use, specifying the type of inhalant when known (e.g., toluene, gasoline, aerosol propellants, nitrites)
- ✓Clinical documentation supporting dependence criteria: tolerance, withdrawal symptoms, compulsive use despite harm, or inability to control use
- ✓Assessment and plan addressing the substance use disorder with treatment approach documented
Commonly Confused Codes
F18.10 (Inhalant abuse, uncomplicated) — abuse indicates a less severe use pattern without meeting full dependence criteria; dependence requires documented tolerance, withdrawal, or compulsive useF18.920-F18.99 (Inhalant use, unspecified) — use when the pattern of use (abuse vs. dependence) is not documented; dependence codes require explicit documentation of dependenceF19.x codes (Other psychoactive substance use) — F19 is for substances other than inhalants; use F18 specifically when the substance is an inhalant
Code Hierarchy
└F18Inhalant related disorders└F18.2Inhalant dependence└F18.29Inhalant dependence with unspecified inhalant-induced disorder
└F18.29Inhalant dependence with unspecified inhalant-induced disorder