ICD-10-CM Code R45.7

State of emotional shock and stress, unspecified

Version 2020 Billable Code No Valid Principal Dx

Valid for Submission

R45.7 is a billable code used to specify a medical diagnosis of state of emotional shock and stress, unspecified. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R45.7 might also be used to specify conditions or terms like mental distress or o/e - shocked.

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.

ICD-10:R45.7
Short Description:State of emotional shock and stress, unspecified
Long Description:State of emotional shock and stress, unspecified

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R45.7 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Mental distress
  • O/E - shocked

Convert R45.7 to ICD-9

  • 308.9 - Acute stress react NOS (Approximate Flag)

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)

Code History

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

Information for Patients


Stress

Everyone feels stressed from time to time. Not all stress is bad. All animals have a stress response, and it can be life-saving. But chronic stress can cause both physical and mental harm.

There are at least three different types of stress:

  • Routine stress related to the pressures of work, family, and other daily responsibilities
  • Stress brought about by a sudden negative change, such as losing a job, divorce, or illness
  • Traumatic stress, which happens when you are in danger of being seriously hurt or killed. Examples include a major accident, war, assault, or a natural disaster. This type of stress can cause post-traumatic stress disorder (PTSD).

Different people may feel stress in different ways. Some people experience digestive symptoms. Others may have headaches, sleeplessness, depressed mood, anger, and irritability. People under chronic stress get more frequent and severe viral infections, such as the flu or common cold. Vaccines, such as the flu shot, are less effective for them.

Some people cope with stress more effectively than others. It's important to know your limits when it comes to stress, so you can avoid more serious health effects.

NIH: National Institute of Mental Health


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