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F51.03

Billable

Paradoxical insomnia

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Paradoxical insomnia is a condition where a person perceives they are getting little to no sleep despite objective evidence showing they are actually sleeping adequately.

Coding Tips

  • This diagnosis typically requires sleep study documentation or objective sleep data that contradicts the patient's perception
  • Document the discrepancy between patient-reported sleep and objective findings to justify this diagnosis

Code Hierarchy

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