F45.22 ICD-10-CM

ICD-10-CM code F45.22 describes body dysmorphic disorder. Preoccupation with a perceived defect or flaw in physical appearance that is unnoticeable to others. It is a billable, specific code valid for claim submission. It is grouped under the “Anxiety, Trauma & Stress-Related Disorders” section of the mental, behavioral, and neurodevelopmental disorders chapter.

When to use F45.22

Use this group for phobias, panic, generalized anxiety, OCD, PTSD, acute and adjustment disorders, and dissociative and somatic symptom disorders. Match the code to the specific syndrome and document the precipitating trigger where relevant. For F45.22 specifically, preoccupation with a perceived defect or flaw in physical appearance that is unnoticeable to others.

Documentation & billing

Document the specific syndrome, severity or frequency, and for trauma- or stress-related codes the precipitating event. For somatic symptom and pain disorders, note the psychological factors involved.

Common pitfalls

• Using unspecified anxiety (F41.9) when criteria for a specific disorder are met.
• Coding PTSD under a generic anxiety or stress code.
• Failing to specify the phobia type (animal, situational, or blood-injection-injury).

Common search terms for F45.22

Clinicians often look up F45.22 using plain-language terms. This code maps to:

Frequently asked questions