ICD-10 R45
Non-Billable HeaderSymptoms and signs involving emotional state
About ICD-10-CM R45
ICD-10-CM code R45 represents Symptoms and signs involving emotional state. This is a non-billable header code in the Symptoms, Signs, and Abnormal Findings chapter (block R45). The 2026 edition of ICD-10-CM R45 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.
Medicare LCD Coverage for R45
Local Coverage Determinations (LCDs) from CMS MACs that list R45 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 R45.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but R45 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with R45
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 90791 Psychiatric diagnostic interview for substance abuse Internal Medicine
Codes Adjacent To R45
Other codes in section R40-R46 (Symptoms and signs involving cognition, perception, emotional state and behavior).
ICD-10 R45, Billing FAQ
Is ICD-10 code R45 billable? +
No, R45 is a non-billable header code. Use a more specific child code from block R45 when submitting claims.
What CPT codes are commonly billed with R45? +
Procedures frequently paired with R45 include: 90791.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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