Inhalant abuse w inhalnt-induce psych disorder w delusions

This code signifies a pattern of harmful use of inhalant substances, such as solvents or aerosols, leading to significant impairment or distress. The abuse is specifically complicated by the presence of a psychotic disorder characterized by delusions, which are fixed, false beliefs not amenable to change in light of conflicting evidence.

Use this code when a patient presents with a documented history or current evidence of inhalant abuse, and a co-occurring psychotic disorder where delusions are a prominent feature and are directly attributable to the inhalant use. Documentation should clearly link the inhalant abuse to the onset or exacerbation of the psychotic symptoms, specifically delusions.

• Ensure documentation explicitly states "abuse" of inhalants, not just "use" or "dependence," and specifies the presence of delusions.
• Distinguish from F18.250 (inhalant dependence with inhalant-induced psychotic disorder with delusions), which indicates a more severe pattern of use.
• Code any associated inhalant intoxication or withdrawal symptoms separately if present and documented.