ICD-10-CM 2027 diagnosis code
F45.41Pain disorder exclusively related to psychological factors
F45.41 is a valid, billable ICD-10-CM code for pain disorder exclusively related to psychological factors. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About F45.41
F45.41 is the ICD-10-CM diagnosis code for pain disorder exclusively related to psychological factors. It belongs to category F45 (somatoform disorders), block F40-F48 (anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders) and chapter 5 (mental, Behavioral and Neurodevelopmental disorders). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within F45.4 (pain disorders related to psychological factors), F45.41 is specifically for pain disorder exclusively related to psychological factors. Related codes cover with related psychological factors (F45.42).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 882 (Neuroses Except Depressive, relative weight 0.9952), in MDC 19 (Mental Diseases and Disorders), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 307.80 (psychogenic pain, site unspecified).
Coding notes
- Somatoform pain disorder (persistent)
Notes that apply from higher levels
Instructions written at a parent level also apply to F45.41.
› From F45.4 Pain disorders related to psychological factors
- pain NOS (R52)
› From F45 Somatoform disorders
- dissociative and conversion disorders (F44.-)
- factitious disorders (F68.1-, F68.A)
- hair-plucking (F63.3)
- lalling (F80.0)
- lisping (F80.0)
- malingering [conscious simulation] (Z76.5)
- nail-biting (F98.8)
- psychological or behavioral factors associated with disorders or diseases classified elsewhere (F54)
- sexual dysfunction, not due to a substance or known physiological condition (F52.-)
- thumb-sucking (F98.8)
- tic disorders (in childhood and adolescence) (F95.-)
- Tourette's syndrome (F95.2)
- trichotillomania (F63.3)
Broader instructions also apply from Chapter 5: Mental, Behavioral and Neurodevelopmental disorders.
Alphabetic index entries
5 entriesTerms in the official ICD-10-CM index that lead to F45.41.
Codes whose notes reference F45.41
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 19 · Mental Diseases and Disorders
ICD-9-CM equivalent
Converter →- 307.80Psychogenic pain, site unspecifiedapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about F45.41
Is F45.41 billable?
- Yes. F45.41 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can F45.41 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict F45.41 as a principal diagnosis.
Is F45.41 a CC or MCC?
- No. F45.41 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does F45.41 group to?
- F45.41 is used in the MS-DRG v44.0 logic for MS-DRG 882 (Neuroses Except Depressive). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for F45.41?
- The CMS General Equivalence Mappings map F45.41 to ICD-9-CM 307.80.