F45.42 — Pain disorder with related psychological factors
Is F45.42 billable?
Yes — F45.42 is billable for FY2027. F45.42 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. F45.42 may be submitted for encounters from October 1, 2026 through September 30, 2027.
F45.42 at a glance
| Code | F45.42 |
|---|---|
| Description | Pain disorder with related psychological factors |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does F45.42 group to?
F45.42 sits in MDC 19 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 882Neuroses Except Depressivemedical
How is F45.42 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to F45.42. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Disorder › pain › with related psychological factors (of)
Code also
Two codes may be needed to describe the condition fully. Whether F45.42 is sequenced first depends on the reason for the encounter.
- associated acute or chronic pain (G89.-)
Excludes1 — never code together — inherited from F45.4
The conditions below can never be reported together with F45.42 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 F45.42, but a patient may have both at the same time. When documentation supports it, F45.42 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 F45.42, but a patient may have both at the same time. When documentation supports it, F45.42 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)
How long has F45.42 existed?
F45.42 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.