F45.4 – Pain disorders related to psychological factors

ICD-10-CM 2027 diagnosis code · Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders

Non-billable header

ICD-10-CM code F45.4
Code
F45.4 (claims format: F454)
Description
Pain disorders related to psychological factors
Billable
No – use a more specific code below
Valid for
Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter
5. Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
Block
F40-F48 Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders
Parent codes
F45

Billable codes under F45.4

F45.4 is a header code and cannot be used on claims. Choose the most specific code:

Notes for F45.4

Excludes1 (not coded here):

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

F45 – Somatoform disorders

Excludes2 (not included here):
  • 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)

Related codes in F45

Frequently asked questions

What is ICD-10 code F45.4?

F45.4 is the ICD-10-CM code for pain disorders related to psychological factors, in the block F40-F48 (Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders).

Is F45.4 a billable code?

No. F45.4 is a header code with more specific child codes; report one of the billable codes listed above.

What category does F45.4 belong to?

It belongs to category F45 – Somatoform disorders.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.