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F51.04

Billable

Psychophysiologic insomnia

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

What This Code Means

Psychophysiologic insomnia is sleep difficulty caused by anxiety and worry about sleep itself, often creating a cycle where fear of not sleeping prevents the person from falling asleep.

Coding Tips

  • •Document evidence of anxiety or worry specifically related to sleep and the sleep environment
  • •Distinguish from primary insomnia by noting the psychological component and conditioned arousal pattern in the clinical notes

Code Hierarchy

└F51Sleep disorders not due to a substance or known physiological condition└F51.0Insomnia not due to a substance or known physiological condition└F51.04Psychophysiologic insomnia
└F51.04Psychophysiologic insomnia

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