She has to leave home at 7.00 am to attend the class at 8.00 am. Diagnosis was mentioned as “adjustment insomnia”Ĭorrect ICD-10 code would be F51.02 (insomnia, adjustment disorder) Insomnia ICD 10 Example 2Ģ0 year old Jennifer, pursuing her business administration course,is here with a problem of waking up too early in the morning. Nothing abnormal found in the physical exam. He does not have history of any chronic conditions. His wife stated that his legs jerk sometimes during sleep. He drinks 4-5 cups of coffee day time and 2 pegs whiskey at night just before sleep. He never had any previous sleep problems. All his problems started after his twin brother’s death in a car accident. Michael is a 45 year old man who comes to clinic stating “I am unable to sleep from past 3 months”. Insomnia due to Psychoactive substance or drug:įew scenarios given below for a clear understanding of coding insomnia. Insomnia due to Amphetamines, caffeine, other stimulant: Insomnia due to Sedative, anxiolytic or hypnotic: : Not due to any conditions or substance abuse, but specified : Due to depression or anxiety or any mental disorder : Not due to any conditions or substance abuse Insomnia/hyposomnia due to any medical condition Alcohol or drug related Insomnia and sleep apnea also can be coded with G47.00 if specified in medical record. Because the conditions or symptoms which we think are included in Insomnia, may also be coded separately.įor example, along with ICD G47.00 (Unspecified Insomnia) we need to code F51 category codes such as nightmares, sleep walking if documented in the medical record. Remember to check excludes 2 notes when coding for Insomnia.Location in ICD-10 CM manual –chapter 6(diseases of nervous system, code range G00-G99) and chapter 5(mental & behavioural disorders, code range F01-F99) A test called ‘sleep study’ may be done for further investigation. Physician will do physical exam and obtain the patient’s history to find out the reason for insomnia. If these symptoms are troubling you to function during day, Yes it is time to visit a doctor. There can be common symptoms like waking up during night, daytime tiredness, irritability or waking up too early. It may be due to depression, asthma, cancer, arthritis, thyroid problems or so. Secondary – It is called secondary as it is due to another disease or health condition you have. Primary – This can be due to noise around you, light, weather, due to stress from job or due to personal worries like someone’s death. Majorly there are 2 different types of Insomnia – Primary and secondary Mostly insomnia is found in woman over 60 years old. This may be for 1 day or few weeks lasting for a short period (acute) or long period (chronic). Insomnia is a sleep disorder in which the person feels it very difficult to get sleep. In this topic let us look into types of Insomnia, Insomnia ICD 10 guidelines with examples.
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