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F45.4

⚠ Non-billable (Header)

Pain disorders related to psychological factors

Mental, Behavioral and Neurodevelopmental disorders (F01-F99)

⚠️ This is a category header code — not billable. Use a more specific child code below.

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❌ Excludes1

direct

Cannot be coded with F45.4

  • • pain NOS (R52)

⚠️ Excludes2

inherited from F45

Rules from parent category 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)

Child Codes (2)

F45.41Pain disorder exclusively related to psychological factorsF45.42Pain disorder with related psychological factors

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Code Information

CodeF45.4
BillableNo — Header code
ParentF45
CategoryMental, Behavioral and Neurodevelopmental disorders (F01-F99)
Excludes11 rule(s)
Excludes213 note(s)
Child codes2

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)