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F41 vs F45

F41 (Other anxiety disorders) compared with F45 (Somatoform disorders), from the official CMS tabular data.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Summary

These codes can be reported together when both conditions are documented, because F41 lists F45 under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named.F41 is “Other anxiety disorders”; F45 is “Somatoform disorders”.

Registry fact

Can these codes be reported together?

Yes, when both are documented.F41 lists F45 under Excludes2: “psychophysiologic disorders (F45.-)”. Excludes2 marks distinct conditions that may both be reported when both are documented.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes2 relationship?

Yes.F41’s tabular entry: “psychophysiologic disorders (F45.-)”. The note covers F45.

Official ruleGuide: Excludes1 vs Excludes2

Is one a parent or header code?

Both are headers.Both are non-billable headers, and neither contains the other.

Registry fact

Nothing found in 3 other checks; 1 check does not apply
Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code.

Official rule

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Informational

Excludes2 relationship

F41
Other anxiety disorders
↔
F45
Somatoform disorders

What we found

Yes, when both are documented.F41 carries an Excludes2 note covering F45: “psychophysiologic disorders (F45.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

  • Section I.A.12.b — Excludes2 · applies to: Excludes2

    A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

    ICD-10-CM Official Guidelines FY2027

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

Similar descriptions do not make codes interchangeable. The documentation and the official instructions decide which code applies.

Official descriptionDiffers
F41

Other anxiety disorders

F45

Somatoform disorders

StatusDiffers
F41
Non-billable header

A header is not reported on a claim; a code beneath it is.

Report instead: F41.0, F41.1, F41.3, F41.8, F41.9

F45
Non-billable header

A header is not reported on a claim; a code beneath it is.

Report instead: F45.0, F45.1, F45.20, F45.21, F45.22

Excludes2Differs
F41
  • anxiety in:
  • acute stress reaction (F43.0)
  • transient adjustment reaction (F43.2)
  • neurasthenia (F48.8)
  • psychophysiologic disorders (F45.-)
  • separation anxiety (F93.0)
F45
  • dissociative and conversion disorders (F44.-)
  • factitious disorders (F68.1-, F68.A)
  • hair-plucking (F63.3)
  • lalling (F80.0)
  • lisping (F80.0)
  • malingering [conscious simulation] (Z76.5)
  • nail-biting (F98.8)
  • psychological or behavioral factors associated with disorders or diseases classified elsewhere (F54)
  • sexual dysfunction, not due to a substance or known physiological condition (F52.-)
  • thumb-sucking (F98.8)
  • tic disorders (in childhood and adolescence) (F95.-)
  • Tourette's syndrome (F95.2)
  • trichotillomania (F63.3)
CategorySame for both

Is itself a category

ChapterSame for both

F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)

No Excludes1, Code first, Use additional code, Code also, Includes and 7th character note at either code.

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on. In a row that differs, each code’s own notes are listed under it, and the notes every code shares are listed once beneath them.

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Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources