R45

Non-Billable
ChapterR00–R99
Rankcategory
Official Description

Symptoms and signs involving emotional state

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings (R00-R99).

CH18 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)

R40-R46 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • symptoms and signs constituting part of a pattern of mental disorder (F01-F99)

Clinical Hierarchy

BillableHas subcodes
CH18Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
R40-R46Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)
R45Symptoms and signs involving emotional stateNot billable
R45.0NervousnessBillable
R45.1Restlessness and agitationBillable
R45.2UnhappinessBillable
R45.3Demoralization and apathyBillable
R45.4Irritability and angerBillable
R45.5HostilityBillable
R45.6Violent behaviorBillable
R45.7State of emotional shock and stress, unspecifiedBillable
R45.8Other symptoms and signs involving emotional stateSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to R45:

blockR40-R46
Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)
View context instructions
chapterCH18
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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