2025 ICD-10-CM code F45.1
Undifferentiated somatoform disorder is characterized by one or more unexplained physical symptoms lasting at least six months, causing significant distress or impairment.
Modifiers may be applicable depending on the specific circumstances of the encounter and the services provided. Consult the current modifier guidelines for appropriate application.
Medical necessity is established by the presence of one or more medically unexplained physical symptoms that persist for at least six months, resulting in clinically significant distress or impairment in social, occupational, or other important areas of functioning.The symptoms must not be better explained by another mental disorder or substance use.
The clinical responsibility for diagnosing and managing undifferentiated somatoform disorder typically falls on psychiatrists or other mental health professionals. Primary care physicians may play a role in ruling out physical causes and referring patients for appropriate mental health care.
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
- F40-F48: Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders
In simple words: Undifferentiated somatoform disorder means you have physical symptoms like pain or tiredness that doctors can't explain with a medical test. These symptoms last for at least six months and make it hard to live your daily life.Talking to a therapist can help manage these symptoms.
Undifferentiated somatoform disorder is a mental health condition where individuals experience one or more physical symptoms that cannot be fully explained by a medical condition, substance use, or other mental disorder.These symptoms must persist for at least six months and cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.Examples of symptoms include fatigue, pain, gastrointestinal problems, and other bodily complaints. The diagnosis is made after a thorough medical evaluation rules out any physical causes.Treatment often involves psychotherapy, such as cognitive behavioral therapy (CBT), to address the underlying psychological factors contributing to the symptoms.
Example 1: A 30-year-old female presents with chronic fatigue, abdominal pain, and headaches for the past eight months.Medical tests are unremarkable.Psychological evaluation reveals significant stress related to work and family pressures.A diagnosis of F45.1 is made, and CBT is recommended., A 45-year-old male reports persistent back pain for over a year despite extensive medical workup showing no structural abnormalities. He exhibits significant anxiety and avoidance behaviors related to his pain.A diagnosis of F45.1 is given, and he is referred for therapy and pain management strategies., A 22-year-old female experiences recurrent nausea and vomiting without an identifiable physical cause. This has affected her ability to maintain employment and social interactions. A psychiatrist diagnoses F45.1 after thorough examination, and a course of psychotherapy is initiated, focusing on stress management and coping mechanisms.
Detailed patient history including onset, duration, and character of symptoms; results of relevant physical examinations and laboratory tests; documentation of psychological evaluation, including assessment of stress levels, coping mechanisms, and functional impact; treatment plan including type of therapy, frequency, and progress notes.
** Differential diagnosis is essential to rule out other conditions such as factitious disorder or malingering.Consider the impact of cultural factors when assessing symptoms.
- Payment Status: Active
- Specialties:Psychiatry, Psychology, Family Medicine, Internal Medicine
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Mental Health Facility