F45 vs F54
F45 (Somatoform disorders) compared with F54 (Psychological and behavioral factors associated with disorders or diseases classified elsewhere), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. F45 carries an Excludes2 note covering F54: “psychological or behavioral factors associated with disorders or diseases classified elsewhere (F54)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| F45Somatoform disorders | F54Psychological and behavioral factors associated with disorders or diseases classified elsewhere | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) |
| Definition | Somatoform disorders is a non-billable ICD-10-CM category code (F45). | Psychological and behavioral factors associated with disorders or diseases classified elsewhere is a billable ICD-10-CM diagnosis code (F54). |
| Includes | — | Psychological factors affecting physical conditions |
| Code first | — | the associated physical disorder, such as: asthma (J45.-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources