Version 2024
No Valid Principal Dx

2024 ICD-10-CM Diagnosis Code R45.89

Other symptoms and signs involving emotional state

ICD-10-CM Code:
R45.89
ICD-10 Code for:
Other symptoms and signs involving emotional state
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

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)

R45.89 is a billable diagnosis code used to specify a medical diagnosis of other symptoms and signs involving emotional state. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

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.

Approximate Synonyms

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

  • Abnormal affect
  • Abusive emotional relationship
  • Affectionate character
  • Agony
  • Alexithymia
  • Altered body image
  • Anxious character
  • Aversion
  • Blunted affect
  • Boredom
  • Capacity for emotion - finding
  • Capacity for emotion - finding
  • Capacity for emotion - finding
  • Capacity for enjoyment - finding
  • Character trait finding of emotional warmth
  • Character trait finding of emotional warmth
  • Character trait finding of emotional warmth
  • Character trait finding of impulse control
  • Character trait finding of level of anxiety
  • Character trait finding of level of anxiety
  • Character trait finding of level of anxiety
  • Character trait finding of level of optimism
  • Character trait finding of level of suggestibility
  • Character trait finding of level of suggestibility
  • Character trait finding of level of suggestibility
  • Character trait finding of orderliness
  • Character trait finding of predisposition to startle
  • Character trait finding of sadistic tendency
  • Character trait finding of sadistic tendency
  • Character trait finding of self-consciousness
  • Character trait finding of self-sufficiency
  • Character trait finding of tolerance of boredom
  • Coming to terms with dying
  • Coming to terms with loss
  • Confident
  • Conflicting attitude towards care
  • Conflicting attitude towards dietary regime
  • Conflicting attitude towards exercise
  • Conflicting attitude towards medication management
  • Conflicting attitude towards treatment
  • Crying associated with mood
  • Dangerous plans
  • Dangerous plans
  • Dangerous plans
  • Dangerous plans
  • Decreased despair
  • Decreased emotional excitability
  • Difficulty controlling emotions
  • Difficulty crying
  • Difficulty in thinking independently
  • Difficulty understanding own emotions
  • Dispiritment
  • Disturbance in affect
  • Disturbance in mood
  • Disturbance in suggestibility
  • Does not cry
  • Does not cry with emotion
  • Does not understand own emotions
  • Dysphoric mood
  • Ecstasy
  • Ecstatic
  • Elation
  • Elevated mood
  • Elevated mood
  • Elevated mood
  • Elevated mood
  • Elevated mood
  • Elevated mood
  • Elevated mood
  • Emotional adjustment - finding
  • Emotional hypersensitivity
  • Emotional immaturity
  • Emotional problems
  • Emotional relationship
  • Emotional upset
  • Emotionally blunted character
  • Emotionally cold
  • Emotionally cool character
  • Emotionally deprived
  • Emotionally detached
  • Emotionally distant
  • Emotionally subdued
  • Emotionally warm character
  • Enjoyment of life - finding
  • Environmental transference
  • Euphoria
  • Euthymic mood
  • Exaltation
  • Excessive euphoria
  • Excessive feelings of mental efficiency
  • Excessive feelings of physical efficiency
  • Excitability
  • Exhilaration
  • Expression of emotions - finding
  • Expression of emotions - finding
  • Expression of emotions - finding
  • Expression of emotions - finding
  • Expression of emotions - finding
  • Expression of emotions - finding
  • Expression of emotions - finding
  • Extremely emotionally deprived
  • Fear
  • Fearful character
  • Fearful with pain
  • Feeling a failure
  • Feeling abandoned
  • Feeling alienated
  • Feeling ashamed
  • Feeling bad
  • Feeling bitter
  • Feeling despair
  • Feeling diffident
  • Feeling dirty
  • Feeling emotionally hurt
  • Feeling empty
  • Feeling excited
  • Feeling frustrated
  • Feeling guilt
  • Feeling high
  • Feeling hopeless
  • Feeling intoxicated
  • Feeling isolated
  • Feeling like wanting to escape
  • Feeling lonely
  • Feeling lost
  • Feeling mixed emotions
  • Feeling of being slowed down
  • Feeling of discouragement
  • Feeling of loss of feeling
  • Feeling physically tense
  • Feeling powerless
  • Feeling relief
  • Feeling tense
  • Feeling trapped
  • Feeling unloved
  • Feeling unwanted
  • Feeling upset
  • Feeling wound up
  • Feelings of omnipotence
  • Feels everything is futile
  • Feels life is meaningless
  • Finding of affective dimension of pain
  • Finding of affective dimension of pain
  • Finding of affective dimension of pain
  • Finding of affective dimension of pain
  • Finding related to ability to control emotions
  • Finding related to ability to control emotions
  • Finding related to ability to understand own emotions
  • Finding related to ability to understand own emotions
  • Finding related to ability to understand own emotions
  • Flat affect
  • Guilty ideas
  • Gullible
  • Highly suggestible
  • Hyperaffectivity
  • Hyperemotivity
  • Hypoaffectivity
  • Hypoemotivity
  • Hypomanic mood
  • Hyposensitivity
  • Ill-at-ease
  • Immature behavior
  • Immature emotional adjustment
  • Impatient character
  • Inappropriate affect
  • Inappropriate jocularity
  • Incongruity of mood
  • Increased emotional excitability
  • Independence of thought - finding
  • Indication for modification of patient emotional status
  • Indication for modification of patient status
  • Infatuation
  • Initiative - finding
  • Initiative - finding
  • Insecurity
  • Jealousy
  • Lack of emotional response
  • Lack of interest
  • Lack of pride
  • Lack of psychological resilience
  • Laughing
  • Level of hope - finding
  • Level of hope - finding
  • Level of hope - finding
  • Loss of affect
  • Loss of capacity to feel emotions
  • Loss of initiative
  • Loss of interest
  • Loss of interest in previously enjoyable activity
  • Loss of motivation
  • Low motivation
  • Moderately suggestible
  • Negative attitude
  • Negative emotion about food and/or nutrition
  • Nonacceptance of illness
  • Non-delusional perplexed mood
  • Normal grief reaction
  • Optimistic
  • Over-anxious character
  • Over-confident
  • Overoptimism
  • Passive character
  • Passivity of affect
  • Passivity of volitional acts
  • Pathological guilt
  • Pedantic character
  • Pessimistic
  • Pessimistic character
  • Plans to assault
  • Plans to commit sexual crime
  • Plans to rape
  • Plans to set fire
  • Powerlessness, low
  • Powerlessness, moderate
  • Powerlessness, severe
  • Predisposed to startle
  • Psychological resilience
  • Punishing with pain
  • Purposeless
  • Rebound mood swings
  • Resigned tolerance
  • Restricted affect
  • Seasonal variation of mood
  • Self-aggrandisement
  • Self-effacing
  • Sense of oppression
  • Sense of personal capacity
  • Sense of personal capacity
  • Sense of purpose - finding
  • Sense of purpose - finding
  • Sense of purpose - finding
  • Sensitivity
  • Showing emotion
  • Sickening with pain
  • Somatic passivity
  • Suffering
  • Suppressed emotion
  • Tedium vitae
  • Tends not to tolerate boredom
  • Tends to be intolerant of frustration
  • Tends to be preoccupied with order
  • Tends to be self-conscious
  • Tends to humiliate others
  • Tends to restrict autonomy of others
  • Tension
  • Tension
  • Tension
  • Tension
  • Thoughts about dying
  • Thoughts of violence
  • Tiring with pain
  • Transference
  • Unable to control emotions
  • Unable to cry
  • Unable to cry with emotion
  • Unable to understand own emotions
  • Unenthusiastic
  • Unrelieved tension
  • Variability of mood
  • Wanting to die
  • Will not try
  • Withdrawn

Clinical Classification

Clinical Information

  • Jealousy

    an irrational reaction compounded of grief, loss of self-esteem, enmity against the rival and and self-criticism.
  • Boredom

    a psychological state resulting from any activity that lacks motivation, or from enforced continuance in an uninteresting situation.
  • Euphoria

    an exaggerated feeling of physical and emotional well-being not consonant with apparent stimuli or events; usually of psychologic origin, but also seen in organic brain disease and toxic states.
  • Transference

    the displacement of activities or cognitive content from one area to another.
  • Food Insecurity

    an individual's concern about consistent access to sufficient quantities of affordable, nutritious food for an active, healthy life.
  • General Social Survey|GSS|Job Insecurity

    a survey designed to assess an individual's perception of how likely it is that they will lose their job in the next 12 months and their ability to find another job.
  • Insecurity

    uncertainty or anxiety that things are not fixed or safe.
  • Job Insecurity

    an individual's concern about the continued existence of their job in the future.
  • USDA Six-Item Standard Measure|Food Insecurity

    a six-item standard measure from the u.s. department of agriculture economic research service designed to measure an individual's or family's availability, accessibility, and affordability of nutritionally adequate food.
  • Flat Affect

    the absence of emotional expressiveness.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Flat affect
  • Loneliness

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Convert R45.89 to ICD-9-CM

  • ICD-9-CM Code: 799.29 - Emotional state sym NEC
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


Mental Health

What is mental health?

Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel, and act as we cope with life. It also helps determine how we handle stress, relate to others, and make choices. Mental health is important at every stage of life, from childhood and adolescence through adulthood and aging.

What are mental disorders?

Mental disorders are serious conditions which can affect your thinking, mood, and behavior. They may be occasional or long-lasting. They can affect your ability to relate to others and function each day. Mental disorders are common; more than half of all Americans will be diagnosed with one at some time in their life. But there are treatments. People with mental disorders can get better, and many of them recover completely.

Why is mental health important?

Mental health is important because it can help you to:

  • Cope with the stresses of life
  • Be physically healthy
  • Have good relationships
  • Make meaningful contributions to your community
  • Work productively
  • Realize your full potential

Your mental health is also important because it can affect your physical health. For example, mental disorders can raise your risk for physical health problems such as stroke, type 2 diabetes, and heart disease.

What can affect my mental health?

There are many different factors that can affect your mental health, including:

  • Biological factors, such as genes or brain chemistry
  • Life experiences, such as trauma or abuse
  • Family history of mental health problems
  • Your lifestyle, such as diet, physical activity, and substance use

You can also affect your mental health by taking steps to improve it, such as doing meditation, using relaxation techniques, and practicing gratitude.

Can my mental health change over time?

Over time, your mental health can change. For example, you may be dealing with a difficult situation, such as trying to manage a chronic illness, taking care of an ill relative, or facing money problems. The situation may wear you out and overwhelm your ability to cope with it. This can worsen your mental health. On the other hand, getting therapy may improve your mental health.

What are the signs that I might have a mental health problem?

When it comes to your emotions, it can be hard to know what is normal and what is not. There are warning signs that you may have a mental health problem, including:

  • A change in your eating or sleeping habits
  • Withdrawing from the people and activities you enjoy
  • Having low or no energy
  • Feeling numb or like nothing matters
  • Having unexplained aches and pains
  • Feeling helpless or hopeless
  • Smoking, drinking, or using drugs more than usual
  • Feeling unusually confused, forgetful, angry, upset, worried, or scared
  • Having severe mood swings that cause problems in your relationships
  • Having thoughts and memories that you can't get out of your head
  • Hearing voices or believing things that are not true
  • Thinking of harming yourself or others
  • Not being able to perform daily tasks like taking care of your kids or getting to work or school

What should I do if I think I have a mental health problem?

If you think that you may have a mental health problem, get help. Talk therapy and/or medicines can treat mental disorders. If you don't know where to start, contact your primary care provider.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.