G47.0

G47.0: Insomnia

Non-billable headerICD-10-CM

G47.0 is a non-billable header ICD-10-CM code for insomnia. 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)
idiopathic insomnia (F51.01)
insomnia due to a mental disorder (F51.05)
insomnia not due to a substance or known physiological condition (F51.0-)
nonorganic insomnia (F51.0-)
primary insomnia (F51.01)
sleep apnea (G47.3-)

Excludes2 inherited from the categories above G47.0

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

Written on G47: Sleep disorders

nightmares (F51.5)
nonorganic sleep disorders (F51.-)
sleep terrors (F51.4)
sleepwalking (F51.3)

Other codes that can never be billed with G47.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z72.820Sleep deprivation
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 G47.0

3 child codes. Green means billable.

Other codes under G47