G47.00

G47.00: Insomnia, unspecified

Billable / specific codeICD-10-CM

G47.00 is a billable, specific ICD-10-CM code for insomnia, unspecified. It is valid for submission on a claim.

Check G47.00 with the rest of the claim: free scrubber

Inclusion terms

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

Insomnia NOS

Excludes2 inherited from the categories above G47.00

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

Written on G47.0: Insomnia

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-)

Written on G47: Sleep disorders

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

Risk adjustment

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

Medicare coverage

G47.00 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56937Billing and Coding: Psychiatry and Psychology Services
A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
A57480Billing and Coding: Psychiatry and Psychology Services

Alphabetic index entries that lead here

Insomnia(organic)

Code history

Unchanged in every release from FY2024 to FY2027.