F45.4 Pain disorders related to psychological factors

Non-billable header with 2 child codes.

Excludes1 (never code together)

• pain NOS (R52)

Applies from 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)

Codes under F45.4

• F45.41 Pain disorder exclusively related to psychological factors
• F45.42 Pain disorder with related psychological factors

Code annotations containing back-references to F45.4

Back-references to F45

• Type 2 Excludes: F41 Other anxiety disorders ("psychophysiologic disorders (F45.-)")
• Type 2 Excludes: F93.0 Separation anxiety disorder of childhood ("nonpsychotic mental disorders (F40-F48)")

Nearby codes

• F45.2 Hypochondriacal disorders
• F45.20 Hypochondriacal disorder, unspecified
• F45.21 Hypochondriasis
• F45.22 Body dysmorphic disorder
• F45.29 Other hypochondriacal disorders
• F45.4 Pain disorders related to psychological factors (this code)
• F45.41 Pain disorder exclusively related to psychological factors
• F45.42 Pain disorder with related psychological factors
• F45.8 Other somatoform disorders
• F45.9 Somatoform disorder, unspecified