ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R45.7

Billable / Specific

State of emotional shock and stress, unspecified

R45
Block
0
Synonyms
112
LCDs
4
Payer Policies
1
Linked CPTs

About ICD-10-CM R45.7

ICD-10-CM code R45.7 represents State of emotional shock and stress, unspecified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R45). The 2026 edition of ICD-10-CM R45.7 became effective on October 1, 2025.

Medicare LCD Coverage for R45.7

Local Coverage Determinations (LCDs) from CMS MACs that list R45.7 as a covered diagnosis.

112 LCDs

Showing top 10 of 112 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96131 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96130 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96132 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96133 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96137 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96136 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96139 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96138 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT G0451 →
CMS LCD: Billing and Coding: Outpatient Psychiatry and Psychology Services
Article ID: 57065, Effective: 2025-11-06 00:00:00, 772 covered, 0 non-covered
CPT 90899 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R45.7.

4 policies

4 Medicare

Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-56937
Billing and Coding: Outpatient Psychiatry and Psychology Services
Policy ID: ART-57065
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-57480
Billing and Coding: Psychological and Neuropsychological Tests
Policy ID: ART-57780

CPT Codes Commonly Billed with R45.7

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

1 linkages
  • 90832 Psychotherapy 30 min — mild-moderate anxiety, depression, adjustment disorder, emotional distress, relationship problems Psychiatry

Convert R45.7 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
R45.7 3089 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 R45.7, Billing FAQ

Is ICD-10 code R45.7 billable? +

Yes, R45.7 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 R45.7? +

Procedures frequently paired with R45.7 include: 90832.

What ICD-9 codes does R45.7 map to? +

Per CMS GEMs, R45.7 maps to ICD-9 codes: 3089. 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 2, 2026.

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