F45.41 vs M54
F45.41 (Pain disorder exclusively related to psychological factors) compared with M54 (Dorsalgia), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. M54 carries an Excludes1 note covering F45.41: “psychogenic dorsalgia (F45.41)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| F45.41Pain disorder exclusively related to psychological factors | M54Dorsalgia | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) |
| Definition | Pain disorder exclusively related to psychological factors is a billable ICD-10-CM diagnosis code (F45.41). | Dorsalgia is a non-billable ICD-10-CM category code (M54). |
| Includes | Somatoform pain disorder (persistent) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources