F45.41 is the authoritative medical code for Pain disorder exclusively related to psychological factors. This classification is used in medical billing and clinical recording to specify the clinical criteria for pain disorder exclusively related to psychological factors (ICD-10-CM F45.41), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Official Registry Overview & Definition
Pain disorder exclusively related to psychological factors is a billable ICD-10-CM diagnosis code F45.41. Inclusion terms: Somatoform pain disorder persistent. Excludes1 (not coded here): pain NOS R52. Excludes2 (not included here): dissociative and conversion disorders F44.-; factitious disorders (F68.1-, F68.A); hair-plucking F63.3; lalling F80.0; lisping F80.0; malingering conscious simulation; 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.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for F45.41 in the official ICD-10-CM tabular list.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Somatoform pain disorder persistent
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- dissociative and conversion disorders F44.-
- factitious disorders (F68.1-, F68.A)
- hair-plucking F63.3
- lalling F80.0
- lisping F80.0
- malingering conscious simulation
- 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
Frequently Asked Questions (FAQ) & Clinical Guidance
What can't be coded together with F45.41?
Per Excludes1 instructions, F45.41 must not be reported with: pain NOS (R52).
Can F45.41 be reported alongside related conditions?
Per Excludes2 instructions, F45.41 and the following may both be reported when both are present: dissociative and conversion disorders (F44.-); factitious disorders (F68.1-, F68.A); hair-plucking (F63.3); lalling (F80.0).
What conditions are included under F45.41?
Pain disorder exclusively related to psychological factors includes: Somatoform pain disorder (persistent).
Codes in This Family (12)
Official ICD-10-CM classifications in the same code family as F45.41, with their registry titles.
- F45 — Somatoform disorders
- F45.0 — Somatization disorder
- F45.1 — Undifferentiated somatoform disorder
- F45.2 — Hypochondriacal disorders
- F45.20 — Hypochondriacal disorder, unspecified
- F45.21 — Hypochondriasis
- F45.22 — Body dysmorphic disorder
- F45.29 — Other hypochondriacal disorders
- F45.4 — Pain disorders related to psychological factors
- F45.42 — Pain disorder with related psychological factors
- F45.8 — Other somatoform disorders
- F45.9 — Somatoform disorder, unspecified
Indexed Clinical Terms (5)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Disorder (of), pain, exclusively related to psychological factors
- Disorder (of), persistent, pain (somatoform)
- Disorder (of), somatoform, pain (persistent)
- Dorsalgia, psychogenic
- Pain (s), psychogenic (persistent) (any site)
Related Codes & Numerical Sequence (Crawl Map)
Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures: