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F51.12

Billable

Insufficient sleep syndrome

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

What This Code Means

A sleep disorder where a person does not get enough sleep to feel rested, even though they may sleep for adequate hours.

Coding Tips

  • •This code requires documentation of insufficient sleep duration relative to the patient's needs
  • •Differentiate from insomnia by confirming the patient can fall asleep but doesn't sleep long enough

Excludes 1 — Do NOT code together

Code Hierarchy

└F51Sleep disorders not due to a substance or known physiological condition└F51.1Hypersomnia not due to a substance or known physiological condition└F51.12Insufficient sleep syndrome
└F51.12Insufficient sleep syndrome

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