F51.9

F51.9: Sleep disorder not due to a substance or known physiological condition, unspecified

Billable / specific codeICD-10-CM

F51.9 is a billable, specific ICD-10-CM code for sleep disorder not due to a substance or known physiological condition, unspecified. It is valid for submission on a claim.

Check F51.9 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Emotional sleep disorder NOS

Excludes2 inherited from the categories above F51.9

Not part of this code, but both may be coded when both are present.

Written on F51: Sleep disorders not due to a substance or known physiological condition

organic sleep disorders (G47.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

F51.9 is named in 4 Medicare coverage policies: 3 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
A57052Billing and Coding: Psychiatric Inpatient Hospitalization
A57053Billing and Coding: Psychiatric Partial Hospitalization Programs
A57780Billing and Coding: Psychological and Neuropsychological Tests

Alphabetic index entries that lead here

Drunkenness›sleep
Problem›sleep disorder, child
Sleep›drunkenness
Disorder›psychogenic NOS›sleep
Disorder›sleep›emotional
Disorder›sleep›nonorganic
Disturbance›sleep›nonorganic origin
Sleep›disorder or disturbance›child
Sleep›disorder or disturbance›nonorganic origin
Sleep›disturbance›nonorganic origin

Code history

Unchanged in every release from FY2024 to FY2027.