F45.41 Pain disorder exclusively related to psychological factors

The ICD-10-CM code for Pain disorder exclusively related to psychological factors is F45.41 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

5: Mental, Behavioral and Neurodevelopmental disorders (F01-F99)

Section

F40-F48: Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders (F40-F48)

Category F45

13 codes (10 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to F45.41:

• Dorsalgia › psychogenic
• Pain (s) › psychogenic (persistent) (any site)
• Disorder (of) › somatoform › pain (persistent)
• Disorder (of) › persistent › (somatoform) pain
• Disorder (of) › pain › exclusively related to psychological factors

Inclusion Terms

• Somatoform pain disorder (persistent)

U.S. Hospital Utilization

• An estimated 1,230 U.S. inpatient stays in 2023 included F45.41 among the documented diagnoses.
• 120 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Assign F45.41; do not code with G89

Assign code F45.41, for pain that is exclusively related to psychological disorders. As indicated by the Excludes 1 note under category G89, a code from category G89 should not be assigned with code F45.41.

Pain disorders related to psychological factors (TOC entry)

a. Pain disorders related to psychological factors ..................................................................... 43

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)