Insomnia
ICD-10 G47.0 is a billable code used to indicate a diagnosis of insomnia.
Insomnia is a sleep disorder characterized by difficulty falling asleep, staying asleep, or waking up too early and not being able to return to sleep. It can be classified into acute or chronic forms, with chronic insomnia lasting for at least three times a week over a period of three months or longer. The condition can be primary, where it is not attributable to any other medical or psychiatric disorder, or secondary, where it is a symptom of another condition such as anxiety, depression, or chronic pain. Insomnia can lead to significant daytime impairment, including fatigue, mood disturbances, and cognitive dysfunction. The diagnosis is typically made through patient history, sleep diaries, and sometimes polysomnography or other sleep studies to rule out other sleep disorders such as sleep apnea or restless leg syndrome. Treatment options may include cognitive behavioral therapy for insomnia (CBT-I), pharmacotherapy, or lifestyle modifications. Understanding the underlying causes and associated conditions is crucial for effective management.
Detailed sleep history, results from sleep studies, and treatment plans.
Patients presenting with chronic insomnia, sleep apnea evaluations, and narcolepsy assessments.
Ensure clear documentation of sleep study results and any comorbid conditions that may affect sleep.
Mental health evaluations, treatment history, and any medications affecting sleep.
Patients with insomnia related to anxiety or depression.
Document the relationship between mental health conditions and sleep disturbances.
Used to evaluate patients with suspected sleep disorders, including insomnia.
Results of the sleep study must be documented, including any findings related to sleep architecture.
Sleep specialists should ensure comprehensive reporting of sleep study results.
Primary insomnia is not attributable to any other medical or psychiatric condition, while secondary insomnia is caused by underlying issues such as anxiety, depression, or medical conditions.