ICD-10 Code F45.22 – Body dysmorphic disorder (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F45.22 – Body dysmorphic disorder
What it is
Body dysmorphic disorder is a mental health condition marked by a persistent preoccupation with perceived flaws in appearance that are minor or not visible to others. The concern causes distress or interferes with daily functioning.
Clinical signs
Common findings include repeated mirror checking, camouflaging, excessive grooming, or comparing appearance with others. Clinical features vary; refer to documentation, especially when the concern is time-consuming and causes significant distress or impairment.
When to use this code
Use F45.22 when the provider documents body dysmorphic disorder, body image preoccupation, or a similar diagnosis meeting clinical criteria. You may also use it when the note clearly describes obsessive appearance concerns with functional impact.
Confirm that the documentation identifies the condition as a disorder, not a simple dissatisfaction with appearance. Check documentation if the record only mentions cosmetic concerns without a diagnosed mental health condition.
Do not use for
Do not use this code for normal appearance concerns, general anxiety about looks, or requests for cosmetic treatment alone. Check documentation if the note suggests another mental health diagnosis instead.
Coding tip
Assign F45.22 only when the provider explicitly documents body dysmorphic disorder or clearly supports that diagnosis in the assessment.