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F18.90 ICD-10-CM Code: Inhalant use, unspecified, uncomplicated

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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)

F18.90

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Inhalant use, unspecified, uncomplicated

This code describes a patient who uses inhalant substances (such as glue, paint thinner, or aerosols) but the specific pattern of use and any related complications are not documented. It is used when there is evidence of inhalant use but insufficient information to classify it as abuse or dependence.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
F18Inhalant related disorders
F18.9Inhalant use, unspecified
F18.90Inhalant use, unspecified, uncomplicated

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F18.90 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for F18.90 in this effective period.

Related Child Codes

Official
F18.91Inhalant use, unspecified, in remission
F18.92Inhalant use, unspecified with intoxication
F18.94Inhalant use, unspecified with inhalant-induced mood disorder
F18.95Inhalant use, unspecified with inhalant-induced psychotic disorder
F18.97Inhalant use, unspecified with inhalant-induced persisting dementia

Includes

Official

ICD-10-CM does not list Includes notes for F18.90 in this effective period.

Excludes 1

Official
  • inhalant abuse (F18.1-)
  • inhalant dependence (F18.2-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F18.90 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F18.90 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F18.90 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when documentation indicates inhalant use without specifying abuse, dependence, or complications; if abuse or dependence is documented, use F18.1x or F18.2x codes instead
Verify that the documentation does not mention withdrawal symptoms, intoxication, or other substance-related disorders that would require a more specific code

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is F18.90 an HCC code?

No. F18.90 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

F18.90 is the ICD-10-CM diagnosis code for inhalant use, unspecified, uncomplicated. This code describes a patient who uses inhalant substances (such as glue, paint thinner, or aerosols) but the specific pattern of use and any related complications are not documented. It is used when there is evidence of inhalant use but insufficient information to classify it as abuse or dependence. F18.90 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental and behavioral disorders due to psychoactive substance use (f10-f19).

F18.90 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Use this code only when documentation indicates inhalant use without specifying abuse, dependence, or complications; if abuse or dependence is documented, use F18.1x or F18.2x codes instead.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F18.90 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only when documentation indicates inhalant use without specifying abuse, dependence, or complications; if abuse or dependence is documented, use F18.1x or F18.2x codes instead
  • Verify that the documentation does not mention withdrawal symptoms, intoxication, or other substance-related disorders that would require a more specific code

Child Codes

Code Hierarchy

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