2026 ICD-10-CM Diagnosis Code R45.89Other symptoms and signs involving emotional state
ICD-10-CM Codes›R00–R99›R40-R46›R45
- Billable — Valid for Submission
- Not Chronic
R45.89 is a billable ICD-10-CM diagnosis code for other symptoms and signs involving emotional state. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Symptoms of mental and substance use conditions.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Abusive emotional relationship
- Affectionate character
- Agony
- Alexithymia
- Altered body image
- Always feeling insecure about caring for child
- Anxious character
- Aversion
- Blunted affect
- Boredom
- Capacity for emotion - finding
- Capacity for enjoyment - finding
- Character trait finding of affective stability
- 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 orderliness
- Character trait finding of predisposition to startle
- 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
- 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
- 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
- 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 related to ability to control emotions
- Finding related to ability to understand own emotions
- Flashback due to and following trauma
- Flat affect
- Guilty ideas
- Gullible
- Highly suggestible
- Hyperaffectivity
- Hyperemotivity
- Hypoaffectivity
- Hypoemotivity
- Hypomanic mood
- Hyposensitivity
- Ill-at-ease
- Immature behavior
- Immature emotional adjustment
- Impaired drive
- Impatient character
- Inappropriate affect
- Inappropriate jocularity
- Incongruity of mood
- Increased emotional excitability
- Independence of thought - finding
- Infatuation
- Initiative - finding
- Insecurity
- Intense and urgent release of emotion
- Intrusive memories
- Jealousy
- Lack of emotional response
- Lack of interest
- Lack of pride
- Lack of psychological resilience
- Laughing
- 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
- Reliving traumatic memories
- Resigned tolerance
- Restricted affect
- Seasonal variation of mood
- Self-aggrandisement
- Self-effacing
- Sense of oppression
- Sense of personal capacity
- Sense of purpose - finding
- Sensitivity
- Showing emotion
- Sickening with pain
- Somatic passivity
- Sometimes feeling insecure about caring for child
- 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
- Thoughts about dying
- Thoughts of violence
- Tiring with pain
- Trait affective instability
- Transference
- Type of memories - finding
- Unable to control emotions
- Unable to cry
- Unable to cry with emotion
- Unable to understand own emotions
- Unenthusiastic
- Unrelieved tension
- Usually feeling insecure about caring for child
- Variability of mood
- Wanting to die
- Will not try
- Withdrawn
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Flat affect
- Loneliness
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.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Loneliness - R45.89
- Symptoms NEC - R68.89
- emotional state NEC - R45.89
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Flat
- affect
- Loneliness
- Symptoms NEC
- involving
- emotional state NEC
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
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.Food Insecurity Questionnaire|Food Insecurity Protocol
an interviewer-administered six-item questionnaire designed to assess an individual's or family's access to food, ability to purchase food, and food quality and quantity. it is derived from the us department of agriculture (usda) economic research service's food security module in the united states.
Patient EducationClinical
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.
The full article covers:
- What is mental health?
- What are mental disorders?
- Why is mental health important?
- What can affect my mental health?
- Can my mental health change over time?
- What are the signs that I might have a mental health problem?
- What should I do if I think I have a mental health problem?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert R45.89 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About R45.89Overview
Is R45.89 (Other symptoms and signs involving emotional state) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other symptoms and signs involving emotional state on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Can R45.89 be a principal diagnosis?
Use it with care. This is a symptom code, so once a definitive diagnosis explaining the other symptoms and signs involving emotional state is established, that condition takes the principal position instead.
What is the ICD-9 equivalent of R45.89?
Under the General Equivalence Mappings, other symptoms and signs involving emotional state converts to ICD-9-CM 799.29 (emotional state sym NEC). The mapping is approximate, so confirm the match fits the documentation.
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.
