Is R45.3 a billable ICD-10-CM code?

Yes. R45.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R45.3 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46).

What cannot be coded together with R45.3?

R45.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

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.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

anhedonia (R45.84)

Risk adjustment

R45.3 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.

Medicare coverage

R45.3 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57130Billing and Coding: Psychiatric Codes

How R45.3 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R45.3.

Apathy
Demoralization

Related codes at this level

Codes that share R45. If R45.3 is not quite right, the correct code is usually one of these.

Questions about R45.3

Is R45.3 a billable ICD-10-CM code?: Yes. R45.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R45.3 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46).
What cannot be coded together with R45.3?: R45.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.