2027 ICD-10-CM Diagnosis Code F45.22Body dysmorphic disorder
ICD-10-CM Codes›F01–F99›F40-F48›F45
- Billable — Valid for Submission
- Chronic Condition
F45.22 is a billable ICD-10-CM diagnosis code for body dysmorphic disorder. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 882. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Obsessive-compulsive and related disorders.
F45.22 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 133 for payment year 2027.
Code Identity
Code Classification
Medicare Risk Adjustment (HCC)Billing
F45.22 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model, but it maps to payment categories in the other CMS models shown below.
Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Body dysmorphic disorder
- Body integrity dysphoria
- Disorders of cutaneous image and perception
- Distorted body image
- Dysmorphic facies
- Dysphoric mood
- Fear of becoming fat
- Loss of body image
- Nosophobia
- Obsessive-compulsive disorder
- Overestimates own body weight
- Preoccupation with appearance
- Preoccupation with specific bodily feature
- Underestimates own body weight
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to F45.22: its own notes plus those printed at F45.2, F45, and Chapter 5. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- disorders of psychological development
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Bigorexia
- Dysmorphophobia (nondelusional)
- Muscle dysmorphia
- Nosophobia
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- 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)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name F45.22, its category, or a range that includes it.
Excludes2 4
These codes carry an Excludes2 note naming F45.22: its condition is not part of those codes, and both may be reported when the patient has both.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Bigorexia F45.22
Disorder (of) See Also: Disease;
body dysmorphic F45.22
dysmorphic body F45.22
body dysmorphic F45.22
muscle F45.22
Nosophobia F45.22
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Body Dysmorphic Disorders
preoccupations with appearance or self-image causing significant distress or impairment in important areas of functioning.
Patient EducationClinical
Mental Disorders
Mental disorders (or mental illnesses) are conditions that affect your thinking, feeling, mood, and behavior. They may happen over a short period of time or come and go. Some can be chronic (long-lasting). They can affect your ability to relate to others and function each day..
The full article covers:
- What are mental disorders?
- What are some types of mental disorders?
- What causes mental disorders?
- Who is at risk for mental disorders?
- How are mental disorders diagnosed?
- What are the treatments for mental disorders?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert F45.22 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About F45.22Overview
What is the ICD-10 code for body dysmorphic disorder?
The ICD-10-CM code for body dysmorphic disorder is F45.22 (sometimes written as F4522). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is F45.22 (Hypochondriacal disorders) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report body dysmorphic disorder on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does F45.22 group to?
When body dysmorphic disorder is the principal diagnosis on an inpatient stay, it groups to MS-DRG 882 (neuroses Except Depressive), which carries a relative weight of 0.9953. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of F45.22?
Under the General Equivalence Mappings, body dysmorphic disorder converts to ICD-9-CM 300.7 (hypochondriasis). The mapping is approximate, so confirm the match fits the documentation.
Does F45.22 risk-adjust for Medicare Advantage payment?
Not for Medicare Advantage: F45.22 maps to no category in the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 133 (Anxiety and Other Psychiatric Disorders).
