2024 ICD-10-CM Diagnosis Code F18.280

Inhalant dependence with inhalant-induced anxiety disorder

ICD-10-CM Code:
F18.280
ICD-10 Code for:
Inhalant dependence with inhalant-induced anxiety disorder
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

  • Mental and behavioural disorders
    (F01–F99)
    • Mental and behavioral disorders due to psychoactive substance use
      (F10-F19)
      • Inhalant related disorders
        (F18)

F18.280 is a billable diagnosis code used to specify a medical diagnosis of inhalant dependence with inhalant-induced anxiety disorder. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Anxiety and fear-related disordersMBD005N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Inhalant-related disordersMBD023Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Convert F18.280 to ICD-9-CM

  • ICD-9-CM Code: 292.89 - Drug mental disorder NEC
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.
  • ICD-9-CM Code: 304.60 - Drug depend NEC-unspec
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.

Patient Education


Anxiety

What is anxiety?

Anxiety is a feeling of fear, dread, and uneasiness. It might cause you to sweat, feel restless and tense, and have a rapid heartbeat. It can be a normal reaction to stress. For example, you might feel anxious when faced with a difficult problem at work, before taking a test, or before making an important decision. It can help you to cope. The anxiety may give you a boost of energy or help you focus. But for people with anxiety disorders, the fear is not temporary and can be overwhelming.

What are anxiety disorders?

Anxiety disorders are conditions in which you have anxiety that does not go away and can get worse over time. The symptoms can interfere with daily activities such as job performance, schoolwork, and relationships.

What are the types of anxiety disorders?

There are several types of anxiety disorders, including:

  • Generalized anxiety disorder (GAD).People with GAD worry about ordinary issues such as health, money, work, and family. But their worries are excessive, and they have them almost every day for at least 6 months.
  • Panic disorder. People with panic disorder have panic attacks. These are sudden, repeated periods of intense fear when there is no danger. The attacks come on quickly and can last several minutes or more.
  • Phobias. People with phobias have an intense fear of something that poses little or no actual danger. Their fear may be about spiders, flying, going to crowded places, or being in social situations (known as social anxiety).

What causes anxiety disorders?

The cause of anxiety is unknown. Factors such as genetics, brain biology and chemistry, stress, and your environment may play a role.

Who is at risk for anxiety disorders?

The risk factors for the different types of anxiety disorders can vary. For example, GAD and phobias are more common in women, but social anxiety affects men and women equally. There are some general risk factors for all types of anxiety disorders, including:

  • Certain personality traits, such as being shy or withdrawn when you are in new situations or meeting new people
  • Traumatic events in early childhood or adulthood
  • Family history of anxiety or other mental disorders
  • Some physical health conditions, such as thyroid problems or arrhythmia

What are the symptoms of anxiety disorders?

The different types of anxiety disorders can have different symptoms. But they all have a combination of:

  • Anxious thoughts or beliefs that are hard to control. They make you feel restless and tense and interfere with your daily life. They do not go away and can get worse over time.
  • Physical symptoms, such as a pounding or rapid heartbeat, unexplained aches and pains, dizziness, and shortness of breath
  • Changes in behavior, such as avoiding everyday activities you used to do

Using caffeine, other substances, and certain medicines can make your symptoms worse.

How are anxiety disorders diagnosed?

To diagnose anxiety disorders, your health care provider will ask about your symptoms and medical history. You may also have a physical exam and lab tests to make sure that a different health problem is not the cause of your symptoms.

If you don't have another health problem, you will get a psychological evaluation. Your provider may do it, or you may be referred to a mental health professional to get one.

What are the treatments for anxiety disorders?

The main treatments for anxiety disorders are psychotherapy (talk therapy), medicines, or both:

  • Cognitive behavioral therapy (CBT) is a type of psychotherapy that is often used to treat anxiety disorders. CBT teaches you different ways of thinking and behaving. It can help you change how you react to the things that cause you to feel fear and anxiety. It may include exposure therapy. This focuses on having you confront your fears so that you will be able to do the things that you had been avoiding.
  • Medicines to treat anxiety disorders include anti-anxiety medicines and certain antidepressants. Some types of medicines may work better for specific types of anxiety disorders. You should work closely with your health care provider to identify which medicine is best for you. You may need to try more than one medicine before you can find the right one.

NIH: National Institute of Mental Health


[Learn More in MedlinePlus]

Inhalants

What are inhalants?

Inhalants are substances that people inhale (breathe in) to get high. There are other substances that people might inhale, such as alcohol. But those are not called inhalants, because they can also be used another way. Inhalants are the substances that you can misuse only by inhaling them.

Using inhalants to try to get high, even once, can be very harmful to your brain and body. It can even lead to death.

What are the types of inhalants?

Inhalants are often products that are easily bought and can be found in the home or workplace. They contain dangerous substances that have psychoactive (mind-altering) properties when they are inhaled. There are four main types of inhalants are:

  • Solvents, which are liquids that become gas at room temperature. They include paint thinner, nail polish remover, gasoline, and glue.
  • Aerosol sprays, such as spray paint, deodorant spray, and vegetable oil sprays
  • Gases, including gas from lighters, whipped cream dispensers, and laughing gas
  • Nitrites (prescription medicines for chest pain)

Some of the common slang terms for various inhalants include:

  • Bold
  • Laughing gas
  • Poppers
  • Rush
  • Snappers
  • Whippets

How do people use inhalants?

People who use inhalants breathe in the fumes through their nose or mouth, usually by "sniffing," "snorting," "bagging," or "huffing." It's called different names depending on the substance and equipment used.

The high that inhalants produce usually lasts just a few minutes, so people often try to make it last by inhaling them again and again over several hours.

Who uses inhalants?

Inhalants are mostly used by young kids and teens. They often try inhalants before they try other substances because inhalants are easier to get.

What are the signs that someone is using inhalants?

Signs that someone is using inhalants include:

  • Chemical odors on breath or clothing
  • Paint or other stains on face, hands, or clothes
  • Hidden empty spray paint or solvent containers and chemical-soaked rags or clothing
  • Red or runny eyes or nose
  • Drunk or disoriented appearance
  • Slurred speech
  • Nausea or loss of appetite
  • Inattentiveness, lack of coordination, irritability, and depression

What are the health effects of using inhalants?

Most inhalants affect your central nervous system and slow down brain activity. Inhalants can cause both short-term and long-term health effects:

  • Short-term health effects include slurred or distorted speech, lack of coordination, euphoria (feeling "high"), dizziness, and hallucinations
  • Long-term health effects may include liver and kidney damage, loss of coordination, limb spasms, delayed behavioral development, and brain damage

Using inhalants, even once, could lead to an overdose. This can cause you to have seizures or your heart to stop. It can also be deadly.

Are inhalants addictive?

Addiction to inhalants is rare, but it can happen if you use them repeatedly. Stopping them can cause withdrawal symptoms, such as nausea, sweating, problems sleeping, and mood changes.

Behavioral therapy may help people who are addicted to inhalants.

Can inhalant misuse be prevented?

To try to prevent inhalant abuse, parents should talk to their children about it. They should discuss the dangers of inhalants and how to deal with peer pressure if someone asks them to try it.

NIH: National Institute on Drug Abuse


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.