R45 - Symptoms and signs involving emotional state

Version 2022
No Valid Principal Dx
ICD-10:R45
Short Description:Symptoms and signs involving emotional state
Long Description:Symptoms and signs involving emotional state
Status: Not Valid for Submission
Version:ICD-10-CM 2022
Code Classification:
  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)
      • Symptoms and signs involving emotional state (R45)

R45 is a non-specific and non-billable ICD-10 code code, consider using a code with a higher level of specificity for a diagnosis of symptoms and signs involving emotional state. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Specific Coding for Symptoms and signs involving emotional state

Non-specific codes like R45 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for symptoms and signs involving emotional state:

  • BILLABLE CODE - Use R45.0 for Nervousness
  • BILLABLE CODE - Use R45.1 for Restlessness and agitation
  • BILLABLE CODE - Use R45.2 for Unhappiness
  • BILLABLE CODE - Use R45.3 for Demoralization and apathy
  • BILLABLE CODE - Use R45.4 for Irritability and anger
  • BILLABLE CODE - Use R45.5 for Hostility
  • BILLABLE CODE - Use R45.6 for Violent behavior
  • BILLABLE CODE - Use R45.7 for State of emotional shock and stress, unspecified
  • NON-BILLABLE CODE - R45.8 for Other symptoms and signs involving emotional state
  • BILLABLE CODE - Use R45.81 for Low self-esteem
  • BILLABLE CODE - Use R45.82 for Worries
  • BILLABLE CODE - Use R45.83 for Excessive crying of child, adolescent or adult
  • BILLABLE CODE - Use R45.84 for Anhedonia
  • NON-BILLABLE CODE - R45.85 for Homicidal and suicidal ideations
  • BILLABLE CODE - Use R45.86 for Emotional lability
  • BILLABLE CODE - Use R45.87 for Impulsiveness
  • BILLABLE CODE - Use R45.88 for Nonsuicidal self-harm
  • BILLABLE CODE - Use R45.89 for Other symptoms and signs involving emotional state

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)