2027 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 880. 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
- Defensive attitude
- 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
- Exaggerated affect
- 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
- Fixed affect
- 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
- Mood swings
- 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
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to R45.89: its own notes plus those printed at block R40-R46 and Chapter 18. A note printed at a category, block or chapter applies to every code under it.
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Flat affect
- Loneliness
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
- Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
- The conditions and signs or symptoms included in categories R00-R94 consist of:
- (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
- (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
- (c) provisional diagnosis in a patient who failed to return for further investigation or care;
- (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
- (e) cases in which a more precise diagnosis was not available for any other reason;
- (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name R45.89, its category, or a range that includes it.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Loneliness R45.89
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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
What is the ICD-10 code for other symptoms and signs involving emotional state?
The ICD-10-CM code for other symptoms and signs involving emotional state is R45.89 (sometimes written as R4589). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
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, 2026 through September 30, 2027.
What MS-DRG does R45.89 group to?
When other symptoms and signs involving emotional state is the principal diagnosis on an inpatient stay, it groups to MS-DRG 880 (acute Adjustment Reaction and Psychosocial Dysfunction), which carries a relative weight of 0.9306. Higher weights mean higher Medicare reimbursement.
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.
