R45.3
R45.3: Demoralization and apathy
Billable / specific codeICD-10-CM
R45.3 is a billable, specific ICD-10-CM code for demoralization and apathy. It is valid for submission on a claim.
Check R45.3 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- anhedonia (R45.84)
Other codes that can never be billed with R45.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
- F07.0Personality change due to known physiological condition
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R45.3 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57130Billing and Coding: Psychiatric Codes
Alphabetic index entries that lead here
- Apathy
- Demoralization
Code history
Unchanged in every release from FY2024 to FY2027.