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 2027, 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).
Mood Lability
A condition of frequent mood changes associated with excessive emotional reactions.
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.
Violent Behavior
Any action that results in intimidation, harm, damage, or destruction of someone or something.
About the R45 Code Range
Emotional signs and symptoms here include nervousness, unhappiness, anger, hostility and violent behavior.
The subdivisions identify specific states and behaviors, such as R45.0 for nervousness and R45.6 for violent behavior. The R45.8 branch separates other symptoms, including worries, excessive crying, impulsiveness and nonsuicidal self-harm. Within that branch, R45.85 divides into homicidal thoughts under R45.850 and suicidal thoughts under R45.851.
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, 2026 through September 30, 2027. 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 2027 ICD-10-CM Tabular List and order file, effective October 1, 2026 through September 30, 2027.
