R45.7 is a billable diagnosis code used to specify a medical diagnosis of state of emotional shock and stress, unspecified. The code R45.7 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 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.
Unspecified diagnosis codes like R45.7 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
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.
Entries in the Index to Diseases and Injuries with references to R45.7
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:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Mental distress
Convert R45.7 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code R45.7 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
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
[Learn More in MedlinePlus]
|ICD Code||Description||Valid for Submission|
|R45||Symptoms and signs involving emotional state||NON-BILLABLE CODE|
|R45.1||Restlessness and agitation||BILLABLE CODE|
|R45.3||Demoralization and apathy||BILLABLE CODE|
|R45.4||Irritability and anger||BILLABLE CODE|
|R45.6||Violent behavior||BILLABLE CODE|
|R45.8||Other symptoms and signs involving emotional state||NON-BILLABLE CODE|
|R45.81||Low self-esteem||BILLABLE CODE|
|R45.83||Excessive crying of child, adolescent or adult||BILLABLE CODE|
|R45.85||Homicidal and suicidal ideations||NON-BILLABLE CODE|
|R45.850||Homicidal ideations||BILLABLE CODE|
|R45.851||Suicidal ideations||BILLABLE CODE|
|R45.86||Emotional lability||BILLABLE CODE|
|R45.88||Nonsuicidal self-harm||BILLABLE CODE|
|R45.89||Other symptoms and signs involving emotional state||BILLABLE CODE|