ICD-10 F45.42
Billable / SpecificPain disorder with related psychological factors
About ICD-10-CM F45.42
ICD-10-CM code F45.42 represents Pain disorder with related psychological factors. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F45). The 2026 edition of ICD-10-CM F45.42 became effective on October 1, 2025.
Coding Notes
Code Also
- associated acute or chronic pain (G89.-)
Medicare LCD Coverage for F45.42
Local Coverage Determinations (LCDs) from CMS MACs that list F45.42 as a covered diagnosis.
Showing top 10 of 320 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F45.42.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with F45.42
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 80323 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- 80358 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- 80326 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- 80346 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- 80359 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- 80363 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- 80353 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- 80334 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- 80369 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
- 80366 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
Convert F45.42 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| F45.42 | 30789 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To F45.42
Other codes in section F40-F48 (Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders).
ICD-10 F45.42, Billing FAQ
Is ICD-10 code F45.42 billable? +
Yes, F45.42 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What CPT codes are commonly billed with F45.42? +
Procedures frequently paired with F45.42 include: 80323, 80358, 80326, 80346, 80359.
What ICD-9 codes does F45.42 map to? +
Per CMS GEMs, F45.42 maps to ICD-9 codes: 30789. Useful for legacy data review and historical claim analysis.
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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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