ICD-10-CM Codes
F01-F99 Mental, Behavioral and Neurodevelopmental disorders
F40-F48 Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders
F45- Somatoform disorders

2017/18 ICD-10-CM Diagnosis Code F45.41

Pain disorder exclusively related to psychological factors

2016

2017

2018

Billable/Specific Code

F45.41 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2018 edition of ICD-10-CM F45.41 became effective on October 1, 2017.
This is the American ICD-10-CM version of F45.41 - other international versions of ICD-10 F45.41 may differ.

Applicable To

Somatoform pain disorder (persistent)

The following code(s) above F45.41 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to F45.41:

F01-F99
2018 ICD-10-CM Range F01-F99
Mental, Behavioral and Neurodevelopmental disorders
Includes
- disorders of psychological development
Type 2 Excludes
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Mental, Behavioral and Neurodevelopmental disorders
F45
ICD-10-CM Diagnosis Code F45
Somatoform disorders
Type 2 Excludes
- dissociative and conversion disorders (F44.-)
- factitious disorders (F68.1-)
- hair-plucking (F63.3)
- lalling (F80.0)
- lisping (F80.0)
- malingering [conscious simulation] (Z76.5)
- nail-biting (F98.8)
- psychological or behavioral factors associated with disorders or diseases classified elsewhere (F54)
- sexual dysfunction, not due to a substance or known physiological condition (F52.-)
- thumb-sucking (F98.8)
- tic disorders (in childhood and adolescence) (F95.-)
- Tourette's syndrome (F95.2)
- trichotillomania (F63.3)
Somatoform disorders
F45.4
ICD-10-CM Diagnosis Code F45.4
Pain disorders related to psychological factors
Type 1 Excludes
- pain NOS (R52)
Pain disorders related to psychological factors

Approximate Synonyms

Chronic pain
Chronic psychogenic pain
Headache, psychogenic
Psychalgia
Psychogenic chronic pain
Psychogenic headache

ICD-10-CM F45.41 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

882 Neuroses except depressive

Convert F45.41 to ICD-9-CM

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change

Code annotations containing back-references to F45.41:

Type 1 Excludes: M54
, G89
, M79
, R52

ICD-10-CM Diagnosis Code M54
Dorsalgia
Type 1 Excludes
- psychogenic dorsalgia (F45.41)
ICD-10-CM Diagnosis Code G89
Pain, not elsewhere classified
Code Also
- related psychological factors associated with pain (F45.42)
Type 1 Excludes
- generalized pain NOS (R52)
- pain disorders exclusively related to psychological factors (F45.41)
- pain NOS (R52)
Type 2 Excludes
- atypical face pain (G50.1)
- headache syndromes (G44.-)
- localized pain, unspecified type - code to pain by site, such as:
- abdomen pain (R10.-)
- back pain (M54.9)
- breast pain (N64.4)
- chest pain (R07.1-R07.9)
- ear pain (H92.0-)
- eye pain (H57.1)
- headache (R51)
- joint pain (M25.5-)
- limb pain (M79.6-)
- lumbar region pain (M54.5)
- painful urination (R30.9)
- pelvic and perineal pain (R10.2)
- shoulder pain (M25.51-)
- spine pain (M54.-)
- throat pain (R07.0)
- tongue pain (K14.6)
- tooth pain (K08.8)
- renal colic (N23)
- migraines (G43.-)
- myalgia (M79.1)
- pain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84-)
- phantom limb syndrome with pain (G54.6)
- vulvar vestibulitis (N94.810)
- vulvodynia (N94.81-)
ICD-10-CM Diagnosis Code M79
Other and unspecified soft tissue disorders, not elsewhere classified
Type 1 Excludes
- psychogenic rheumatism (F45.8)
- soft tissue pain, psychogenic (F45.41)
ICD-10-CM Diagnosis Code R52
Pain, unspecified
Applicable To
- Acute pain NOS
- Generalized pain NOS
- Pain NOS
Type 1 Excludes
- acute and chronic pain, not elsewhere classified (G89.-)
- localized pain, unspecified type - code to pain by site, such as:
- abdomen pain (R10.-)
- back pain (M54.9)
- breast pain (N64.4)
- chest pain (R07.1-R07.9)
- ear pain (H92.0-)
- eye pain (H57.1)
- headache (R51)
- joint pain (M25.5-)
- limb pain (M79.6-)
- lumbar region pain (M54.5)
- pelvic and perineal pain (R10.2)
- shoulder pain (M25.51-)
- spine pain (M54.-)
- throat pain (R07.0)
- tongue pain (K14.6)
- tooth pain (K08.8)
- renal colic (N23)
- pain disorders exclusively related to psychological factors (F45.41)

Diagnosis Index entries containing back-references to F45.41:

Disorder (of) - see also Disease
- pain
  - exclusively related to psychological factors F45.41
- persistent
  - (somatoform) F45.41 (somatoform)
- somatoform F45.9
  ICD-10-CM Diagnosis Code F45.9
  Somatoform disorder, unspecified
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Psychosomatic disorder NOS
  - pain F45.41 (persistent)
Dorsalgia M54.9
ICD-10-CM Diagnosis Code M54.9
Dorsalgia, unspecified
Applicable To
Backache NOS
Back pain NOS
- psychogenic F45.41
Pain(s) R52
- see also Painful
ICD-10-CM Diagnosis Code R52
Pain, unspecified
Applicable To
Acute pain NOS
Generalized pain NOS
Pain NOS
Type 1 Excludes
acute and chronic pain, not elsewhere classified (G89.-)
localized pain, unspecified type - code to pain by site, such as:
abdomen pain (R10.-)
back pain (M54.9)
breast pain (N64.4)
chest pain (R07.1-R07.9)
ear pain (H92.0-)
eye pain (H57.1)
headache (R51)
joint pain (M25.5-)
limb pain (M79.6-)
lumbar region pain (M54.5)
pelvic and perineal pain (R10.2)
shoulder pain (M25.51-)
spine pain (M54.-)
throat pain (R07.0)
tongue pain (K14.6)
tooth pain (K08.8)
renal colic (N23)
pain disorders exclusively related to psychological factors (F45.41)
- psychogenic F45.41 (persistent) (any site)

ICD-10-CM Codes Adjacent To F45.41

F44.9 Dissociative and conversion disorder, unspecified

F45 Somatoform disorders

F45.0 Somatization disorder

F45.1 Undifferentiated somatoform disorder

F45.2 Hypochondriacal disorders

F45.20 Hypochondriacal disorder, unspecified

F45.21 Hypochondriasis

F45.22 Body dysmorphic disorder

F45.29 Other hypochondriacal disorders

F45.4 Pain disorders related to psychological factors

F45.41 Pain disorder exclusively related to psychological factors

F45.42 Pain disorder with related psychological factors

F45.8 Other somatoform disorders

F45.9 Somatoform disorder, unspecified

F48 Other nonpsychotic mental disorders

F48.1 Depersonalization-derealization syndrome

F48.2 Pseudobulbar affect

F48.8 Other specified nonpsychotic mental disorders

F48.9 Nonpsychotic mental disorder, unspecified

F50 Eating disorders

F50.0 Anorexia nervosa

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2017/18 ICD-10-CM Diagnosis Code F45.41

Pain disorder exclusively related to psychological factors

Mental, Behavioral and Neurodevelopmental disorders

Somatoform disorders

Pain disorders related to psychological factors

Dorsalgia

Pain, not elsewhere classified

Other and unspecified soft tissue disorders, not elsewhere classified

Pain, unspecified

Somatoform disorder, unspecified

Dorsalgia, unspecified

Pain, unspecified