G47.01 — Insomnia due to medical condition
G47.01 is a billable, specific ICD-10-CM code for insomnia due to medical condition. It is valid for submission on a claim.
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- associated medical condition
Risk adjustment
G47.01 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
G47.01 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How G47.01 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 G47.01.
- Insomnia›due to›medical condition
Related codes at this level
Codes that share G47.0. If G47.01 is not quite right, the correct code is usually one of these.
Questions about G47.01
- Is G47.01 a billable ICD-10-CM code?
- Yes. G47.01 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does G47.01 sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Episodic and paroxysmal disorders (G40-G47).