ICD-10-CM 2027 diagnosis code
R45Symptoms and signs involving emotional state
R45 is a header code, so it can't be reported by itself. Choose one of the 9 more specific codes beneath it.
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 R45
R45 is the ICD-10-CM diagnosis code for symptoms and signs involving emotional state. It belongs to block R40-R46 (symptoms and signs involving cognition, perception, emotional state and behavior) and chapter 18 (symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified). It is a header code, so it can't be reported by itself; one of its 9 subcodes must be used instead.
To report this condition, pick the subcode that matches the documentation: R45.0 (Nervousness), R45.1 (agitation), R45.2 (unhappiness), R45.3 (apathy), R45.4 (anger), R45.5 (Hostility), R45.6 (behavior), R45.7 (unspecified) and 1 more.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Specific codes under R45
- R45.0NervousnessBillable
- R45.1Restlessness and agitationBillable
- R45.2UnhappinessBillable
- R45.3Demoralization and apathyBillable
- R45.4Irritability and angerBillable
- R45.5HostilityBillable
- R45.6Violent behaviorBillable
- R45.7State of emotional shock and stress, unspecifiedBillable
- R45.8Other symptoms and signs involving emotional state
- R45.81Low self-esteemBillable
- R45.82WorriesBillable
- R45.83Excessive crying of child, adolescent or adultBillable
- R45.84AnhedoniaBillable
- R45.85Homicidal and suicidal ideations
- R45.86Emotional labilityBillable
- R45.87ImpulsivenessBillable
- R45.88Nonsuicidal self-harmBillable
- R45.89Other symptoms and signs involving emotional stateBillable
Notes that apply from higher levels
Instructions written at a parent level also apply to R45.
Codes whose notes reference R45
- F07.0Excludes1
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 R45
Is R45 billable?
- No. R45 is a header code. Report one of its more specific subcodes instead.