G47.01
G47.01: Insomnia due to medical condition
Billable / specific codeICD-10-CM
G47.01 is a billable, specific ICD-10-CM code for insomnia due to medical condition. It is valid for submission on a claim.
Check G47.01 with the rest of the claim: free scrubberCode also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- associated medical condition
Excludes2 inherited from the categories above G47.01
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-)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
G47.01 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54923Billing and Coding: Bariatric Surgery for Treatment of Co-Morbidities Conditions Related to Morbid Obesity
- A56612Billing and Coding: CT of the Head
- A56730Billing and Coding: Respiratory Therapy and Oximetry Services
Alphabetic index entries that lead here
- Insomnia›due to›medical condition
Code history
Unchanged in every release from FY2024 to FY2027.