F45.4 — Pain disorders related to psychological factors
Is F45.4 billable?
No — F45.4 is a non-billable header code. F45.4 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 2 billable codes beneath F45.4.
Billable codes under this header
F45.4 at a glance
| Code | F45.4 |
|---|---|
| Description | Pain disorders related to psychological factors |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with F45.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- pain NOS (R52)
Excludes2 — not included here — inherited from Chapter 5
The conditions below are not part of F45.4, but a patient may have both at the same time. When documentation supports it, F45.4 and the excluded code may both be reported.
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Excludes2 — not included here — inherited from F45
The conditions below are not part of F45.4, but a patient may have both at the same time. When documentation supports it, F45.4 and the excluded code may both be reported.
- 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)
What codes fall under F45.4? (2)
How long has F45.4 existed?
F45.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with F45.4?
ICD-10-CM declares these codes mutually exclusive with F45.4 — exactly one of each pair can be correct for a given encounter.