ICD-10 Guide

Poor Sleep

ICD-10 Coding for Poor Sleep(G47.00, Z72.820)

PRIMARY SPECIALTYSleep Medicine

COMPLEXITYHigh

LAST UPDATED09/15/2025

Sam Tuffun, PT, DPT

Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Poor Sleep?

Essential facts and insights about Poor Sleep

Key Clinical Considerations:

Insomnia, excessive daytime sleepiness, difficulty falling or staying asleep
Polysomnography showing sleep disturbances, actigraphy results indicating poor sleep quality
Signs of fatigue, irritability, and cognitive impairment during physical examination

Clinical Information

Clinical Criteria & Documentation Requirements

Patient sleep history, including duration and quality of sleep, associated symptoms
ICD-10 terminology such as G47.00 (Insomnia, unspecified) or G47.10 (Hypersomnia, unspecified)
Example: 'Patient reports difficulty sleeping for over 3 months, impacting daily activities.'

Coding Guidelines

Usage Guidelines & Examples

Usage guidelines: Use specific codes based on the type of sleep disorder.
Common errors: Misclassifying insomnia as hypersomnia or vice versa.

Code Exclusions

Important Exclusions

Sleep apnea, restless leg syndrome, circadian rhythm sleep disorders
Alternative codes: F51.01 (Primary insomnia), G47.30 (Other sleep disorders)

Specialty Focus

Primary Specialty

Sleep Medicine

Specialty Applications

Adults with chronic sleep issues, children with sleep disturbances
Sleep clinics, primary care settings, mental health facilities

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

Comprehensive clinical documentation
Accurate code selection based on clinical criteria
Proper exclusion considerations
Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

Ensure proper documentation for billing
Verify code specificity requirements
Check for any additional codes needed
Review payer-specific guidelines

Common Issues

Insufficient clinical documentation
Incorrect code selection
Missing supporting diagnoses
Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed sleep history and any comorbid conditions.

Billing considerations?

Ensure accurate coding to reflect the specific sleep disorder for reimbursement.

Poor Sleep

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?

Poor Sleep

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?