F45.4
F45.4: Pain disorders related to psychological factors
Non-billable headerICD-10-CM
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)
Excludes2 inherited from the categories above F45.4
Not part of this code, but both may be coded when both are present.
Written on F45: Somatoform disorders
- dissociative and conversion disorders (F44.-)
- factitious disorders (F68.1-, F68.A)
- 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)
Other codes that can never be billed with F45.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead F45.4
2 child codes. Green means billable.