Other insomnia
ICD-10 G47.09 is a billable code used to indicate a diagnosis of other insomnia.
Other insomnia encompasses various forms of sleep disturbances that do not fit into the more commonly recognized categories of insomnia, such as chronic insomnia disorder or primary insomnia. Patients may experience difficulty falling asleep, staying asleep, or waking up too early, leading to daytime fatigue and impaired functioning. This condition can be influenced by a multitude of factors including psychological stress, medical conditions, medications, and lifestyle choices. Insomnia can also be a symptom of underlying sleep disorders such as sleep apnea or narcolepsy. The diagnosis of other insomnia requires a thorough evaluation, including a detailed sleep history and possibly a sleep study, to rule out other sleep disorders. Treatment options may include cognitive-behavioral therapy for insomnia (CBT-I), lifestyle modifications, and pharmacotherapy. Accurate coding is essential for proper treatment and reimbursement, as well as for tracking the prevalence of sleep disorders in the population.
Detailed sleep history, results from sleep studies, and treatment plans.
Patients presenting with chronic fatigue, difficulty sleeping, or suspected sleep apnea.
Documentation must include differential diagnoses and rationale for treatment choices.
Mental health evaluations, medication history, and psychosocial factors affecting sleep.
Patients with insomnia linked to anxiety, depression, or other mental health disorders.
Must document the interplay between mental health and sleep disturbances.
Used when insomnia is suspected to be related to sleep apnea or other sleep disorders.
Results of the sleep study must be documented, including any observed apneas or hypopneas.
Sleep specialists should ensure comprehensive reports are generated.
G47.09 is used for other types of insomnia that do not fit into the primary insomnia category (G47.00). It requires documentation of specific underlying causes or contributing factors.