F45.4 — Pain disorders related to psychological factors
F45.4 is a non-billable header ICD-10-CM code for pain disorders related to psychological factors. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- pain NOS (R52)
Other codes that can never be billed with F45.4
These codes carry an Excludes1 note pointing at F45.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F45.4 alone.
Risk adjustment
F45.4 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead F45.4
2 child codes. Green means billable.
Related codes at this level
Codes that share F45. If F45.4 is not quite right, the correct code is usually one of these.
Questions about F45.4
- Is F45.4 a billable ICD-10-CM code?
- No. F45.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does F45.4 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders (F40-F48).
- What cannot be coded together with F45.4?
- F45.4 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.