ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 5: Mental, Behavioral and Neurodevelopmental disordersF45

F45

Billable

Somatoform disorders

Chapter 5:Mental, Behavioral and Neurodevelopmental disorders

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F45 is a billable code used to indicate a diagnosis of somatoform disorders.

Key Diagnostic Point:

Somatoform disorders are characterized by the presence of physical symptoms that cannot be fully explained by a medical condition or substance use. These disorders often manifest as significant distress and impairment in social, occupational, or other important areas of functioning. Patients may present with various complaints, including pain, gastrointestinal issues, or neurological symptoms, which are not attributable to any identifiable medical cause. The psychological factors contributing to these symptoms can include anxiety, depression, and stress. Commonly associated conditions include anxiety disorders, post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), and specific phobias. Effective management often requires a multidisciplinary approach, including psychotherapy, cognitive-behavioral therapy (CBT), and sometimes pharmacotherapy. Understanding the interplay between psychological and physical symptoms is crucial for accurate diagnosis and treatment, as misdiagnosis can lead to unnecessary medical interventions and increased healthcare costs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms that can mimic other medical conditions
  • Need for comprehensive psychological evaluation
  • Potential overlap with other mental health disorders
  • Documentation of psychosomatic connections

Audit Risk Factors

  • Inadequate documentation of symptom origin
  • Failure to link symptoms to psychological factors
  • Misclassification of somatic symptoms as purely physical
  • Lack of comprehensive treatment plans

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, symptom assessment, and treatment plans.

Common Clinical Scenarios

Patients presenting with unexplained chronic pain or gastrointestinal issues.

Billing Considerations

Need for thorough psychological evaluation and potential collaboration with other specialties.

Primary Care

Documentation Requirements

Comprehensive physical examination and documentation of referrals to mental health specialists.

Common Clinical Scenarios

Patients with recurrent visits for physical complaints without clear medical diagnoses.

Billing Considerations

Understanding the psychosomatic relationship and ensuring appropriate referrals.

Coding Guidelines

Inclusion Criteria

Use F45 When
  • According to ICD
  • 10 guidelines, somatoform disorders are classified under F45
  • Coders must ensure that the symptoms are not better explained by a medical condition or substance use
  • Documentation should clearly indicate the psychological basis of the symptoms and any relevant treatment plans

Exclusion Criteria

Do NOT use F45 When
No specific exclusions found.

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes with patient

Clinical Scenario

Used for patients diagnosed with somatoform disorders requiring therapy.

Documentation Requirements

Document the duration of the session and the therapeutic techniques used.

Specialty Considerations

Psychiatrists should ensure that the treatment plan aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of somatoform disorders, improving the ability to capture the complexity of these conditions. This specificity aids in better understanding and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of somatoform disorders, improving the ability to capture the complexity of these conditions. This specificity aids in better understanding and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of somatoform disorders, improving the ability to capture the complexity of these conditions. This specificity aids in better understanding and treatment planning.

Resources

Clinical References

  • •
    American Psychiatric Association - Diagnostic and Statistical Manual of Mental Disorders

Coding & Billing References

  • •
    American Psychiatric Association - Diagnostic and Statistical Manual of Mental Disorders

Frequently Asked Questions

What are somatoform disorders?

Somatoform disorders are mental health conditions where patients experience physical symptoms that cannot be fully explained by a medical condition. These symptoms can cause significant distress and impairment in daily functioning.

How do I code for somatoform disorders?

Use the ICD-10 code F45 for somatoform disorders, ensuring that documentation supports the diagnosis and that symptoms are not attributable to a medical condition.