Insomnia ICD-10-CM Codes | 2023

Which Insomnia ICD Codes are Billable: 

Here’s a list of the most common ICD codes for insomnia and associated codes with insomnia and their billability:

• G47.0: No, it is not billable because it’s not specific or valid for fiscal year 2023. 
• G47.00: Yes, it is billable. However, it’s only acceptable if clinical information on the patient’s condition is unavailable or unknown. 
• G47.01: Yes, it is billable because it specifies that the cause of insomnia is a medical condition. 
• G47.99: Yes, it is billable because it specifies the other types of insomnia. 
• F51.0: No, it is not billable because it’s not specific or valid for fiscal year 2023. 
• F51.01: Yes, it is billable because it refers to a specific type of insomnia.
• F51.02: Yes, it is billable because it refers to another specific type of insomnia that doesn’t last so long. 
• F51.03: Yes, it is billable because it refers to a subtype of chronic insomnia.
• F51.04: Yes, it is billable because it refers to another specific type of chronic insomnia. 
• F51.05: Yes, it is billable because it specifies that the source of the insomnia is a mental disorder. 
• F51.09: Yes, it is billable because it specifies that the source of the insomnia isn’t a substance or physiological condition.

Clinical Information

• Insomnia is a sleep disorder wherein a patient can’t fall asleep, stay asleep, or both, resulting in the patient having little to no sleep. 
• There are different types of insomnia depending on how long the patient has the condition. It can be acute, which is short-term, or chronic, which is long-term. 
• Causes may vary and depend on the type of insomnia the patient has. Causes of acute insomnia are stress from the patient’s relationships, environment, or a traumatic event and substances. Meanwhile, causes of chronic insomnia are changes in work, travel, stress, or feeling upset for an extended period. In some cases, chronic insomnia can also be a side effect or symptom of another condition, disorder, or medication. 
• Those who are most likely at risk are older adults who are stressed, distressed, working at night, constantly traveling across time zones, aren’t active, or have financial problems. 
• To diagnose insomnia, a practitioner obtains a patient’s medical and sleep history, does a physical exam, and, if needed, does a sleep study. 
• Treatment is usually one or a combination of medication, therapy, and lifestyle changes. However, if insomnia is a side effect or symptom, the therapy will be to treat the condition/problem or to change the prescribed medication.

Synonyms Include:

• Insomnia
• Insomnia disorder
• Cannot sleep at all
• Organic insomnia
• Initial insomnia
• Middle insomnia
• Late insomnia