Somatoform disorders F45- >

Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (F45) and the excluded code together.
  • dissociative and conversion disorders (
    ICD-10-CM Diagnosis Code F44
    • F44 Dissociative and conversion disorders
      • F44.0 Dissociative amnesia
      • F44.1 Dissociative fugue
      • F44.2 Dissociative stupor
      • F44.4 Conversion disorder with motor symptom or def...
      • F44.5 Conversion disorder with seizures or convulsi...
      • F44.6 Conversion disorder with sensory symptom or d...
      • F44.7 Conversion disorder with mixed symptom presen...
      • F44.8 Other dissociative and conversion disorders
        • F44.81 Dissociative identity disorder
        • F44.89 Other dissociative and conversion disorders
      • F44.9 Dissociative and conversion disorder, unspeci...
    F44.-
    )
  • factitious disorders (
    ICD-10-CM Diagnosis Code F68.1

    Factitious disorder imposed on self

      2016 2017 2018 2019 - Revised Code 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Compensation neurosis
    • Elaboration of physical symptoms for psychological reasons
    • Hospital hopper syndrome
    • Münchausen's syndrome
    • Peregrinating patient
    Type 2 Excludes
    • factitial dermatitis (L98.1)
    • person feigning illness (with obvious motivation) (Z76.5)
    F68.1-
    ,
    ICD-10-CM Diagnosis Code F68.A

    Factitious disorder imposed on another

      2019 - New Code 2020 Billable/Specific Code
    Applicable To
    • Factitious disorder by proxy
    • Münchausen's by proxy
    F68.A
    )
  • hair-plucking (
    ICD-10-CM Diagnosis Code F63.3

    Trichotillomania

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Hair plucking
    Type 2 Excludes
    • other stereotyped movement disorder (F98.4)
    F63.3
    )
  • lalling (
    ICD-10-CM Diagnosis Code F80.0

    Phonological disorder

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Dyslalia
    • Functional speech articulation disorder
    • Lalling
    • Lisping
    • Phonological developmental disorder
    • Speech articulation developmental disorder
    • Speech-sound disorder
    Type 1 Excludes
    • speech articulation impairment due to aphasia NOS (R47.01)
    • speech articulation impairment due to apraxia (R48.2)
    Type 2 Excludes
    • speech articulation impairment due to hearing loss (F80.4)
    • speech articulation impairment due to intellectual disabilities (F70-F79)
    • speech articulation impairment with expressive language developmental disorder (F80.1)
    • speech articulation impairment with mixed receptive expressive language developmental disorder (F80.2)
    F80.0
    )
  • lisping (
    ICD-10-CM Diagnosis Code F80.0

    Phonological disorder

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Dyslalia
    • Functional speech articulation disorder
    • Lalling
    • Lisping
    • Phonological developmental disorder
    • Speech articulation developmental disorder
    • Speech-sound disorder
    Type 1 Excludes
    • speech articulation impairment due to aphasia NOS (R47.01)
    • speech articulation impairment due to apraxia (R48.2)
    Type 2 Excludes
    • speech articulation impairment due to hearing loss (F80.4)
    • speech articulation impairment due to intellectual disabilities (F70-F79)
    • speech articulation impairment with expressive language developmental disorder (F80.1)
    • speech articulation impairment with mixed receptive expressive language developmental disorder (F80.2)
    F80.0
    )
  • malingering [conscious simulation] (
    ICD-10-CM Diagnosis Code Z76.5

    Malingerer [conscious simulation]

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Person feigning illness (with obvious motivation)
    Type 1 Excludes
    Z76.5
    )
  • nail-biting (
    ICD-10-CM Diagnosis Code F98.8

    Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Excessive masturbation
    • Nail-biting
    • Nose-picking
    • Thumb-sucking
    F98.8
    )
  • psychological or behavioral factors associated with disorders or diseases classified elsewhere (
    ICD-10-CM Diagnosis Code F54

    Psychological and behavioral factors associated with disorders or diseases classified elsewhere

      2016 2017 2018 2019 2020 Billable/Specific Code Manifestation Code
    Applicable To
    • Psychological factors affecting physical conditions
    Code First
    • the associated physical disorder, such as:
    • asthma (J45.-)
    • dermatitis (L23-L25)
    • gastric ulcer (K25.-)
    • mucous colitis (K58.-)
    • ulcerative colitis (K51.-)
    • urticaria (L50.-)
    Type 2 Excludes
    • tension-type headache (G44.2)
    F54
    )
  • sexual dysfunction, not due to a substance or known physiological condition (
    ICD-10-CM Diagnosis Code F52
    • F52 Sexual dysfunction not due to a substance or ...
      • F52.0 Hypoactive sexual desire disorder
      • F52.1 Sexual aversion disorder
      • F52.2 Sexual arousal disorders
        • F52.21 Male erectile disorder
        • F52.22 Female sexual arousal disorder
      • F52.3 Orgasmic disorder
        • F52.31 Female orgasmic disorder
        • F52.32 Male orgasmic disorder
      • F52.4 Premature ejaculation
      • F52.5 Vaginismus not due to a substance or known ph...
      • F52.6 Dyspareunia not due to a substance or known p...
      • F52.8 Other sexual dysfunction not due to a substan...
      • F52.9 Unspecified sexual dysfunction not due to a s...
    F52.-
    )
  • thumb-sucking (
    ICD-10-CM Diagnosis Code F98.8

    Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Excessive masturbation
    • Nail-biting
    • Nose-picking
    • Thumb-sucking
    F98.8
    )
  • tic disorders (in childhood and adolescence) (
    ICD-10-CM Diagnosis Code F95
    • F95 Tic disorder
      • F95.0 Transient tic disorder
      • F95.1 Chronic motor or vocal tic disorder
      • F95.2 Tourette's disorder
      • F95.8 Other tic disorders
      • F95.9 Tic disorder, unspecified
    F95.-
    )
  • Tourette's syndrome (
    ICD-10-CM Diagnosis Code F95.2

    Tourette's disorder

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Combined vocal and multiple motor tic disorder [de la Tourette]
    • Tourette's syndrome
    F95.2
    )
  • trichotillomania (
    ICD-10-CM Diagnosis Code F63.3

    Trichotillomania

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Hair plucking
    Type 2 Excludes
    • other stereotyped movement disorder (F98.4)
    F63.3
    )
Clinical Information
  • A category of psychiatric disorders which are characterized by the presence of physical symptoms that suggest a medical condition but are not fully explained by any known medical reasons.
  • Disorders characterized by bodily symptoms caused by psychological factors.
  • Disorders having the presence of physical symptoms that suggest a general medical condition but that are not fully explained by a general medical condition, by the direct effects of a substance, or by another mental disorder. The symptoms must cause clinically significant distress or impairment in social, occupational, or other areas of functioning. In contrast to factitious disorders and malingering, the physical symptoms are not under voluntary control. (apa, dsm-iv)
Codes
  • 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