ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 F18.10

Billable / Specific HCC v28: 56

Inhalant abuse, uncomplicated

F18
Block
1
Synonyms
338
LCDs
18
Payer Policies
68
Linked CPTs

About ICD-10-CM F18.10

ICD-10-CM code F18.10 represents Inhalant abuse, uncomplicated. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F18). The 2026 edition of ICD-10-CM F18.10 became effective on October 1, 2025.

Coding Tips for F18.10

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

F18.10 is a CMS-HCC v28 risk-adjustment code (category 56). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under F18.10. Per CMS ICD-10-CM Tabular 2026.

  • Inhalant use disorder, mild

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 56

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Medicare LCD Coverage for F18.10

Local Coverage Determinations (LCDs) from CMS MACs that list F18.10 as a covered diagnosis.

338 LCDs

Showing top 10 of 338 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0480 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0481 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0482 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0483 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80305 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0659 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80307 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80306 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 55001, Effective: 2026-01-01 00:00:00, 388 covered, 0 non-covered
CPT G0480 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 55001, Effective: 2026-01-01 00:00:00, 388 covered, 0 non-covered
CPT G0481 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F18.10.

18 policies

1 Cigna

Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

5 Medicare

Billing and Coding: Urine Drug Testing
Policy ID: ART-54799
Billing and Coding: Urine Drug Testing
Policy ID: ART-55001
Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Policy ID: ART-56645
Billing and Coding: Urine Drug Testing
Policy ID: ART-56818
Billing and Coding: Urine Drug Testing
Policy ID: ART-56915

1 Aetna

Tuberculosis Testing
Policy ID: CPB-0471

CPT Codes Commonly Billed with F18.10

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

68 linkages
  • G0480 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 80306 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • G0482 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 0603U CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 80305 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • G0659 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • G0483 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 80307 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • G0481 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 80323 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD

Convert F18.10 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
F18.10 30590 10000
F18.10 30591 10000
F18.10 30592 10000
F18.10 30593 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 F18.10, Billing FAQ

Is ICD-10 code F18.10 billable? +

Yes, F18.10 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to F18.10? +

ICD-10 F18.10 includes: Inhalant use disorder, mild.

Does F18.10 affect Medicare Advantage HCC risk adjustment? +

Yes. F18.10 maps to CMS-HCC v28 category 56. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What CPT codes are commonly billed with F18.10? +

Procedures frequently paired with F18.10 include: G0480, 80306, G0482, 0603U, 80305.

What ICD-9 codes does F18.10 map to? +

Per CMS GEMs, F18.10 maps to ICD-9 codes: 30590, 30591, 30592, 30593. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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