F51.0
F51.0: Insomnia not due to a substance or known physiological condition
Non-billable headerICD-10-CM
F51.0 is a non-billable header ICD-10-CM code for insomnia not due to a substance or known physiological condition. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- alcohol related insomnia (F10.182, F10.282, F10.982)
- drug-related insomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
- insomnia NOS (G47.0-)
- insomnia due to known physiological condition (G47.0-)
- organic insomnia (G47.0-)
- sleep deprivation (Z72.820)
Other codes that can never be billed with F51.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z72.821Inadequate sleep hygiene
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead F51.0
6 child codes. Green means billable.
Other codes under F51
- F51.1Hypersomnia not due to a substance or known physiological condition
- F51.3Sleepwalking [somnambulism]
- F51.4Sleep terrors [night terrors]
- F51.5Nightmare disorder
- F51.8Other sleep disorders not due to a substance or known physiological condition
- F51.9Sleep disorder not due to a substance or known physiological condition, unspecified