ICD-10-CM Code R45.89

Other symptoms and signs involving emotional state

Version 2020 Billable Code No Valid Principal Dx

Valid for Submission

R45.89 is a billable code used to specify a medical diagnosis of other symptoms and signs involving emotional state. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R45.89 might also be used to specify conditions or terms like abnormal affect, abusive emotional relationship, affectionate character, agony, alexithymia, altered body image, etc

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:R45.89
Short Description:Other symptoms and signs involving emotional state
Long Description:Other symptoms and signs involving emotional state

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 R45.89 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:

  • Abnormal affect
  • Abusive emotional relationship
  • Affectionate character
  • Agony
  • Alexithymia
  • Altered body image
  • Anxious character
  • Attitude - finding
  • Attitude - finding
  • Attitude - finding
  • Attitude - finding
  • Attitude - finding
  • Attitude - finding
  • Aversion
  • Blunted affect
  • Boredom
  • C/O tearfulness
  • 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 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
  • Decreased despair
  • Depression screening positive
  • 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
  • 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 feelings of mental efficiency
  • Excessive feelings of physical efficiency
  • Excitability
  • Exhilaration
  • 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
  • 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 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
  • Nonacceptance of illness
  • Non-delusional perplexed mood
  • Normal grief reaction
  • O/E - afraid
  • O/E - decreased excitability
  • O/E - distressed
  • O/E - elated
  • O/E - excitable
  • O/E - fearful mood
  • O/E - increased excitability
  • Optimistic
  • Over-anxious character
  • Over-confident
  • Overoptimism
  • Passive character
  • Passivity of affect
  • Passivity of volitional acts
  • Pathological guilt
  • Pedantic character
  • Pessimistic
  • Pessimistic character
  • Physiological disturbance associated with mood
  • 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
  • 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
  • Unpleasurable affect
  • Unrelieved tension
  • Variability of mood
  • Wanting to die
  • Will not try
  • Withdrawn

Convert R45.89 to ICD-9

  • 799.29 - Emotional state sym NEC (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


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.

What are mental illnesses?

Mental illnesses are serious disorders 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 a mental disorder at some time in their life. But there are treatments. People with mental health problems 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

How can I improve my mental health?

There are steps you can take to help you improve your mental health. They include

  • Staying positive
  • Being physically active
  • Connecting with others
  • Developing a sense of meaning and purpose in life
  • Getting enough sleep
  • Developing coping skills
  • Meditating
  • Getting professional help if you need it

[Learn More]