Pain disorder with related psychological factors
ICD-10 F45.42 is a billable code used to indicate a diagnosis of pain disorder with related psychological factors.
Pain disorder with related psychological factors is characterized by the presence of significant pain that is influenced by psychological factors. This condition often manifests in patients who experience chronic pain, where psychological issues such as anxiety, depression, or stress exacerbate the perception of pain. The pain may not have a clear physiological cause, or it may be disproportionate to any identifiable medical condition. Patients may also exhibit symptoms of anxiety disorders, PTSD, OCD, or specific phobias, which can complicate the clinical picture. Effective management often requires a multidisciplinary approach, including psychological therapy, medication, and pain management techniques. Understanding the interplay between psychological factors and pain perception is crucial for accurate diagnosis and treatment, as well as for appropriate coding.
Detailed psychological evaluations, treatment plans, and progress notes.
Patients with chronic pain who also exhibit anxiety or depressive symptoms.
Ensure that psychological factors are clearly documented as contributing to the pain experience.
Comprehensive pain assessments, including psychological evaluations and treatment responses.
Patients undergoing interventional pain management who have psychological comorbidities.
Document the multidisciplinary approach to treatment, including psychological interventions.
Used for patients receiving therapy for pain management related to psychological factors.
Document the duration of therapy and the focus on pain management.
Psychiatrists and psychologists should ensure that the therapy is clearly linked to the pain disorder.
The primary focus of treatment for F45.42 is to address both the psychological factors contributing to the pain and the pain itself. This often involves a combination of psychotherapy, medication, and pain management strategies.
