G47.09

G47.09: Other insomnia

Billable / specific codeICD-10-CM

G47.09 is a billable, specific ICD-10-CM code for other insomnia. It is valid for submission on a claim.

Check G47.09 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above G47.09

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

G47.09 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56612Billing and Coding: CT of the Head
A56730Billing and Coding: Respiratory Therapy and Oximetry Services
A58801Billing and Coding: Pharmacogenomics Testing
A58812Billing and Coding: Pharmacogenomics Testing

Alphabetic index entries that lead here

Insomnia›specified NEC

Code history

Unchanged in every release from FY2024 to FY2027.