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

2019 ICD-10-CM Diagnosis Code F45

Somatoform disorders

2016

2017

2018

2019

Non-Billable/Non-Specific Code

F45 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
The 2019 edition of ICD-10-CM F45 became effective on October 1, 2018.
This is the American ICD-10-CM version of F45 - other international versions of ICD-10 F45 may differ.

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
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
Applicable To
- Factitious disorder by proxy
- Münchausen's by proxy
F68.A
)
hair-plucking (
ICD-10-CM Diagnosis Code F63.3
Trichotillomania
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
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
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]
Applicable To
- Person feigning illness (with obvious motivation)
Type 1 Excludes
- factitious disorder (F68.1-, F68.A)
- peregrinating patient (F68.1-)
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
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
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
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
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
Applicable To
- Hair plucking
Type 2 Excludes
- other stereotyped movement disorder (F98.4)
F63.3
)

The following code(s) above F45 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:

F01-F99
2019 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

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)

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
2019 (effective 10/1/2018): No change

Code annotations containing back-references to F45:

Type 2 Excludes: F41

ICD-10-CM Diagnosis Code F41
Other anxiety disorders
Type 2 Excludes
- anxiety in:
- acute stress reaction (F43.0)
- transient adjustment reaction (F43.2)
- neurasthenia (F48.8)
- psychophysiologic disorders (F45.-)
- separation anxiety (F93.0)

ICD-10-CM Codes Adjacent To F45

F44.1 Dissociative fugue

F44.2 Dissociative stupor

F44.4 Conversion disorder with motor symptom or deficit

F44.5 Conversion disorder with seizures or convulsions

F44.6 Conversion disorder with sensory symptom or deficit

F44.7 Conversion disorder with mixed symptom presentation

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, 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

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

2019 ICD-10-CM Diagnosis Code F45

Somatoform disorders

Factitious disorder imposed on self

Factitious disorder imposed on another

Trichotillomania

Phonological disorder

Phonological disorder

Malingerer [conscious simulation]

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

Psychological and behavioral factors associated with disorders or diseases classified elsewhere

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

Tourette's disorder

Trichotillomania

Mental, Behavioral and Neurodevelopmental disorders

Other anxiety disorders