ICD-10 F45.4
Non-Billable HeaderPain disorders related to psychological factors
About ICD-10-CM F45.4
ICD-10-CM code F45.4 represents Pain disorders related to psychological factors. This is a non-billable header code in the Mental, Behavioral, and Neurodevelopmental chapter (block F45). The 2026 edition of ICD-10-CM F45.4 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with F45.4. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- pain NOS (R52)
Medicare LCD Coverage for F45.4
Local Coverage Determinations (LCDs) from CMS MACs that list F45.4 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F45.4.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but F45.4 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with F45.4
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To F45.4
Other codes in section F40-F48 (Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders).
ICD-10 F45.4, Billing FAQ
Is ICD-10 code F45.4 billable? +
No, F45.4 is a non-billable header code. Use a more specific child code from block F45 when submitting claims.
What codes are Type 1 Excludes for F45.4? +
Type 1 Excludes (never code together with F45.4): pain NOS (R52)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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