F45.41 Pain disorder exclusively related to psychological factors

Billable ICD-10-CM code, FY2026.

Applicable to

• Somatoform pain disorder (persistent)

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)

Applies from F45.4 Pain disorders related to psychological factors

Excludes1 (never code together)

• pain NOS (R52)

MS-DRG index

Defines the logic of DRG(s) 882 in MDC 19.

Approximate ICD-9-CM (GEMs)

• 307.80 Psychogenic pain, site unspecified (approximate)

Code annotations containing back-references to F45.41

Back-references to F45.41

• Type 1 Excludes: G89 Pain, not elsewhere classified ("pain disorders exclusively related to psychological factors (F45.41)")
• Type 1 Excludes: M54 Dorsalgia ("psychogenic dorsalgia (F45.41)")
• Type 1 Excludes: M79 Other and unspecified soft tissue disorders, not elsewhere classified ("soft tissue pain, psychogenic (F45.41)")
• Type 1 Excludes: R52 Pain, unspecified ("pain disorders exclusively related to psychological factors (F45.41)")

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)")

Diagnosis Index entries for F45.41

• Disorder (of) › pain › exclusively related to psychological factors
• Disorder (of) › persistent › (somatoform) pain
• Disorder (of) › somatoform › pain (persistent)
• Dorsalgia › psychogenic
• Pain (s) › psychogenic (persistent) (any site)

Nearby codes

• 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
• F45.41 Pain disorder exclusively related to psychological factors (this code)
• F45.42 Pain disorder with related psychological factors
• F45.8 Other somatoform disorders
• F45.9 Somatoform disorder, unspecified