VITiếng Việt
ICD-10 Vietnam

F45.4Persistent somatoform pain disorder

Code usage status

Primary diagnosis

May be used as the primary diagnosis

Apply only when it matches the confirmed diagnosis and the documented clinical record.

Specificity

Complete code in the classification

Use when the diagnosis matches and no exclusion applies.

Chapter V
Mental and behavioural disorders
Group F40-F48
Neurotic, stress- related and somatoform disorders
Official Vietnamese name
Rối loạn đau dạng cơ thể dai dẳng
Additional WHO coding guidance
The predominant complaint is of persistent, severe, and distressing pain, which cannot be explained fully by a physiological process or a physical disorder, and which occurs in association with emotional conflict or psychosocial problems that are sufficient to allow the conclusion that they are the main causative influences. The result is usually a marked increase in support and attention, either personal or medical. Pain presumed to be of psychogenic origin occurring during the course of depressive disorders or schizophrenia should not be included here. Psychalgia Psychogenic: backache headache Somatoform pain disorder Excl.: backache NOS (M54.9)

Related F45 codes

F45 Somatoform disorders F45.0 Primary diagnosis candidate Somatization disorder F45.1 Primary diagnosis candidate Undifferentiated somatoform disorder F45.2 Primary diagnosis candidate Hypochondriacal disorder F45.3 Primary diagnosis candidate Somatoform autonomic dysfunction F45.8 Primary diagnosis candidate Other somatoform disorders F45.9 Primary diagnosis candidate Somatoform disorder, unspecified

Clinical record checklist

View coding guide →
  • Confirm that the code matches the final documented diagnosis.
  • Use one primary-diagnosis code and record only relevant additional conditions.
  • Review Ministry indicators, inclusions, exclusions and notes.
  • Do not infer a diagnosis beyond the clinical record.

2026 regulatory basis

Indicators are taken from columns 24–29 of the classification accompanying Circular 06/2026/TT-BYT, cross-referenced with Decision 1849/QĐ-BYT and Official Dispatch 4059/BYT-BH.