F51.3 — Sleepwalking [somnambulism]
F51.3 is a billable, specific ICD-10-CM code for sleepwalking [somnambulism]. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Non-rapid eye movement sleep arousal disorders, sleepwalking type
Risk adjustment
F51.3 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.
Medicare coverage
F51.3 is named in 16 Medicare coverage policies — 14 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56865Billing and Coding: Psychiatric Inpatient Hospitalizationnot covered
- A56903Billing and Coding: Polysomnography and Other Sleep Studies
- A56923Billing and Coding: Outpatient Sleep Studies
How F51.3 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F51.3.
- Somnambulism
- Insomnia›learned
- Sleep›walking
- Walking›sleep
- Disorder›non-rapid eye movement sleep arousal›sleepwalking type
- Disorder›sleep›walking
Related codes at this level
Codes that share F51. If F51.3 is not quite right, the correct code is usually one of these.
- F51.0Insomnia not due to a substance or known physiological condition
- F51.1Hypersomnia not due to a substance or known physiological condition
- 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 F51.3
- Is F51.3 a billable ICD-10-CM code?
- Yes. F51.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F51.3 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).