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F45.8 vs N94.6

F45.8 (Other somatoform disorders) compared with N94.6 (Dysmenorrhea, unspecified), 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. N94.6 carries an Excludes1 note covering F45.8: “psychogenic dysmenorrhea (F45.8)”

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

F45.8Other somatoform disordersN94.6Dysmenorrhea, unspecified
Billing statusBillableBillable
ClassificationF01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)N00-N99 — Diseases of the Genitourinary System (N00-N99)
DefinitionOther somatoform disorders is a billable ICD-10-CM diagnosis code (F45.8).Dysmenorrhea, unspecified is a billable ICD-10-CM diagnosis code (N94.6).
Includes
Psychogenic dysmenorrhea
Psychogenic dysphagia, including 'globus hystericus'
Psychogenic pruritus
Psychogenic torticollis

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources