R45.7
R45.7: State of emotional shock and stress, unspecified
Billable / specific codeICD-10-CM
R45.7 is a billable, specific ICD-10-CM code for state of emotional shock and stress, unspecified. It is valid for submission on a claim.
Check R45.7 with the rest of the claim: free scrubberOther codes that can never be billed with R45.7
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
R45.7 is named in 5 Medicare coverage policies: 4 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56937Billing and Coding: Psychiatry and Psychology Services
- A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
- A57480Billing and Coding: Psychiatry and Psychology Services
Alphabetic index entries that lead here
- State›emotional shock(stress)
- State›stress(emotional)
Code history
Unchanged in every release from FY2024 to FY2027.