Psychophysiologic insomnia
ICD-10 F51.04 is a billable code used to indicate a diagnosis of psychophysiologic insomnia.
Psychophysiologic insomnia is a sleep disorder characterized by difficulty falling asleep or staying asleep, primarily due to psychological factors rather than a primary sleep disorder. This condition often arises from stress, anxiety, or other emotional disturbances that lead to a heightened state of arousal, making it difficult for individuals to relax and initiate sleep. Patients may experience a cycle of anxiety about their inability to sleep, which further exacerbates the insomnia. The condition can significantly impact daily functioning, leading to fatigue, mood disturbances, and impaired cognitive performance. Treatment typically involves cognitive-behavioral therapy (CBT) aimed at addressing the underlying psychological issues and developing healthier sleep habits. It is essential for healthcare providers to differentiate psychophysiologic insomnia from other sleep disorders, such as primary insomnia or insomnia due to medical conditions, to ensure appropriate management and coding.
Detailed psychological assessment and treatment plan.
Patients presenting with anxiety disorders leading to sleep disturbances.
Consideration of comorbid mental health conditions that may affect sleep.
Sleep studies and comprehensive sleep history.
Patients with chronic insomnia complaints and psychological evaluations.
Integration of behavioral therapy recommendations in treatment plans.
Used in conjunction with F51.04 for therapy addressing insomnia.
Document the focus of therapy on sleep issues and psychological factors.
Psychiatrists should ensure that therapy notes reflect the connection to insomnia.
Psychophysiologic insomnia is primarily caused by psychological factors such as stress and anxiety, which lead to a heightened state of arousal that interferes with the ability to sleep.
