F51.0 — Insomnia not due to a substance or known physiological condition
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
These codes carry an Excludes1 note pointing at F51.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F51.0 alone.
- Z72.821Inadequate sleep hygiene
Risk adjustment
F51.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead F51.0
6 child codes. Green means billable.
Related codes at this level
Codes that share F51. If F51.0 is not quite right, the correct code is usually one of these.
- 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
Questions about F51.0
- Is F51.0 a billable ICD-10-CM code?
- No. F51.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does F51.0 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59).