In simple words: This code describes pain that has no physical cause but is strongly linked to mental or emotional issues like stress, anxiety, or depression.The pain can be in different parts of the body and is diagnosed after doctors have checked for other medical reasons. Treatment often involves therapy and medication.

Pain disorder exclusively related to psychological factors (F45.41) is an ICD-10-CM code that describes a condition where a patient experiences significant pain without a corresponding medical or physiological cause.The pain is believed to be primarily influenced by psychological factors such as emotional distress, anxiety, depression, or distorted cognitive processes.The pain can manifest in various locations, including headaches, abdominal pain, chest pain, back pain, muscle pain, and others. Diagnosis involves a thorough evaluation ruling out other pain causes, incorporating patient history, physical examination, and psychological assessments. Treatment may include psychotherapy, antidepressants, anxiolytics, and non-narcotic pain relievers.

Example 1: A 35-year-old female presents with chronic back pain for the past 6 months.Extensive medical workup including imaging and neurological examination reveals no structural abnormality.Psychological evaluation reveals significant anxiety and depression related to a recent job loss.Code F45.41 is assigned., A 40-year-old male reports persistent headaches, fatigue, and abdominal discomfort.After excluding organic causes, a psychiatrist diagnoses him with a pain disorder predominantly influenced by unresolved childhood trauma and significant stressors in his current life. F45.41 is assigned along with codes that reflect the identified psychological stressors., A 60-year-old female complains of severe and persistent chest pain. Extensive cardiac workup shows no evidence of coronary artery disease or other cardiac pathology. The patient is suffering from significant anxiety following the recent death of her spouse, and the physical symptoms are assessed as related to the emotional turmoil. F45.41 is assigned.

Detailed patient history, including pain onset, location, character, duration, and associated symptoms; results of physical examination; relevant laboratory and imaging studies;psychiatric or psychological evaluation to establish psychological factors contributing to the pain; assessment of the patient's social and occupational functioning; documentation of treatment plan including pharmacologic and psychotherapeutic interventions.

** Consider using additional ICD-10-CM codes to specify the associated psychological factors (e.g., anxiety disorders, depressive disorders), and any other relevant comorbidities.