F45.4
Pain disorders related to psychological factors
Non-billable headerNot valid on its own. Use one of the more specific codes under it.
F45.4 is a non-billable ICD-10-CM code header for pain disorders related to psychological factors. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are F45.41 Pain disorder exclusively related to psychological factors and F45.42 Pain disorder with related psychological factors. Its coding notes include 1 Excludes1 entry and 14 Excludes2 entries.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
This code
- pain NOS (R52)
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Inherited from 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)
Also from chapter/block level (1 note)
Inherited from Chapter 5 Mental, Behavioral and Neurodevelopmental disorders
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Includes
Further defines or gives examples of the content of the category.
Also from chapter/block level (1 note)
Inherited from Chapter 5 Mental, Behavioral and Neurodevelopmental disorders
- disorders of psychological development