R45 — Symptoms and signs involving emotional state
Is R45 billable?
No — R45 is a non-billable header code. R45 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 18 billable codes beneath R45.
Billable codes under this header
- R45.0Nervousness
- R45.1Restlessness and agitation
- R45.2Unhappiness
- R45.3Demoralization and apathy
- R45.4Irritability and anger
- R45.5Hostility
- R45.6Violent behavior
- R45.7State of emotional shock and stress, unspecified
- R45.81Low self-esteem
- R45.82Worries
- R45.83Excessive crying of child, adolescent or adult
- R45.84Anhedonia
- R45.86Emotional lability
- R45.87Impulsiveness
- R45.88Nonsuicidal self-harm
- R45.89Other symptoms and signs involving emotional state
- R45.850Homicidal ideations
- R45.851Suicidal ideations
R45 at a glance
| Code | R45 |
|---|---|
| Description | Symptoms and signs involving emotional state |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes2 — not included here — inherited from Chapter 18
The conditions below are not part of R45, but a patient may have both at the same time. When documentation supports it, R45 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R40-R46
The conditions below are not part of R45, but a patient may have both at the same time. When documentation supports it, R45 and the excluded code may both be reported.
- symptoms and signs constituting part of a pattern of mental disorder (F01-F99)
What codes fall under R45? (9)
How long has R45 existed?
R45 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 R45?
ICD-10-CM declares these codes mutually exclusive with R45 — exactly one of each pair can be correct for a given encounter.