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F45.41

Billable

Pain disorder exclusively related to psychological factors

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Significant pain in one or more body areas that is primarily caused or significantly worsened by psychological factors such as stress, anxiety, or emotional distress, with no clear physical cause.

Coding Tips

  • Ensure documentation clearly indicates psychological factors are the primary cause of pain
  • Differentiate from F45.42 by confirming absence of significant medical condition contributing to pain

Code Hierarchy

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