Symptoms and signs involving emotional state (R45) ICD-10-CM
The R45 code range covers symptoms and signs involving emotional state with 21 ICD-10-CM diagnosis codes. 18 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.
Codes in the R45 Range 21 codes · 18 billable
- R45 Symptoms and signs involving emotional stateNon-billable
- R45.0 Nervousness
- R45.1 Restlessness and agitation
- R45.2 Unhappiness
- R45.3 Demoralization and apathy
- R45.4 Irritability and anger
- R45.5 Hostility
- R45.6 Violent behavior
- R45.7 State of emotional shock and stress, unspecified
- R45.8 Other symptoms and signs involving emotional stateNon-billable
- R45.81 Low self-esteem
- R45.82 Worries
- R45.83 Excessive crying of child, adolescent or adult
- R45.84 Anhedonia
- R45.85 Homicidal and suicidal ideationsNon-billable
- R45.850 Homicidal ideations
- R45.851 Suicidal ideations
- R45.86 Emotional lability
- R45.87 Impulsiveness
- R45.88 Nonsuicidal self-harm
- R45.89 Other symptoms and signs involving emotional state
Clinical Terms in This Code Range
Definitions from the National Library of Medicine for conditions coded in the R45 range.
Anhedonia
Inability to experience pleasure due to impairment or dysfunction of normal psychological and neurobiological mechanisms. It is a symptom of many PSYCHOTIC DISORDERS (e.g., DEPRESSIVE DISORDER, MAJOR; and SCHIZOPHRENIA).
Boredom
A psychological state resulting from any activity that lacks motivation, or from enforced continuance in an uninteresting situation.
Bullying
Aggressive behavior by a more powerful party that results in physical harm to or emotional distress of the victim.
Cri-du-Chat Syndrome
An infantile syndrome characterized by a cat-like cry, failure to thrive, microcephaly, MENTAL RETARDATION, spastic quadriparesis, micro- and retrognathia, glossoptosis, bilateral epicanthus, hypertelorism, and tiny external genitalia. It is caused by a deletion of the short arm of chromosome 5 (5p-).
Crying
To utter an inarticulate, characteristic sound in order to communicate or express a feeling, or desire for attention.
Cyberbullying
Bullying that takes place over digital devices like cell phones and computers. It includes sending, posting, or sharing negative, harmful, false, or mean content about someone else. It can include sharing personal or private information about someone else causing embarrassment or humiliation. (from https://www.stopbullying.gov)
Demoralization
Weakening of hope, courage, or confidence.
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.
Hostility
Tendency to feel anger toward and to seek to inflict harm upon a person or group.
Jealousy
An irrational reaction compounded of grief, loss of self-esteem, enmity against the rival and and self-criticism.
Occupational Stress
Adverse psychological and behavioral reactions caused by the pressures and demands of employers or clients or other factors, such as the physical environment of the workplace, WORKPLACE VIOLENCE; or WORKPLACE BULLYING.
Oppositional Defiant Disorder
A repetitive and persistent pattern of behavior that develops in childhood and is characterized as recurrent disobedient, overall negative or agitated mood, a quarrelsome attitude or being vengeful toward authority figures. Unlike in conduct disorder defiant behaviors in oppositional defiant disorders typically do not involve aggression, destruction, theft, or deceit. Oppositional defiant disorder, CONDUCT DISORDER and ATTENTION DEFICIT AND HYPERACTIVITY DISORDER sometimes co-occur.
Psychomotor Agitation
A feeling of restlessness associated with increased motor activity. This may occur as a manifestation of nervous system drug toxicity or other conditions.
Sadism
A condition in which there is a derivation of pleasure from inflicting pain, discomfort or humiliation on another person or persons. The sexual significance of sadistic wishes or behavior may be conscious or unconscious.
Torture
The intentional infliction of physical or mental suffering upon an individual or individuals, including the torture of animals.
About the R45 Code Range
The ICD-10 code section R45 covers symptoms and signs related to a person's emotional state, providing specific codes for varied emotional and behavioral conditions such as nervousness, restlessness, irritability, and suicidal ideations. These codes help classify emotional symptoms encountered in clinical settings.
This section includes codes like R45.0 for nervousness—also known as pre-examination nerves or nervous tension—and R45.1 for restlessness and agitation, which includes behaviors like continuous movement or fidgeting. Emotional states such as unhappiness (R45.2), irritability and anger (R45.4), and hostility (R45.5) are also distinctly coded. More severe behaviors like violent behavior (R45.6) and suicidal or homicidal ideations (R45.85-R45.851) are specified to guide appropriate diagnosis and treatment. Additionally, less common symptoms like low self-esteem (R45.81), emotional lability (R45.86), and nonsuicidal self-harm (R45.88) are included, addressing a broad range of emotional challenges. This ICD-10 code for symptoms and signs involving emotional state aids healthcare providers and coders in accurately documenting emotional and behavioral health concerns.
Questions About This Page
How many billable codes are in the R45 range?
Of the 21 codes in this range, 18 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.
What does the R45 range classify?
The range classifies symptoms and signs involving emotional state. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.
