ICD-10 Code G47.00
Unspecified insomnia
What is the code G47.00?
G47.00 is the ICD-10-CM code for unspecified insomnia. Healthcare providers use it to document and bill for services related to the diagnosis and treatment of insomnia when the specific type of insomnia has not been identified.
Detailed description of G47.00
G47.00 refers to insomnia, which is characterized by difficulty initiating or maintaining sleep or non-restorative sleep despite adequate opportunity and circumstances for sleep. This condition can lead to significant impairment in social, occupational, educational, academic, behavioral, or other important areas of functioning.
Symptoms commonly associated with G47.00
Patients diagnosed with G47.00 may experience a variety of symptoms, including:
- Difficulty falling asleep
- Waking up frequently during the night
- Waking up too early and not being able to go back to sleep
- Feeling tired upon waking
- Daytime fatigue or sleepiness
- Irritability, depression, or anxiety
- Difficulty paying attention, focusing on tasks, or remembering things
- Increased errors or accidents
Related and similar ICD-10 codes
There are several ICD-10 codes related to G47.00 that specify different types of insomnia:
- G47.01: Insomnia due to a medical condition
- G47.02: Insomnia due to a mental disorder
- G47.09: Other insomnia
Appropriate usage of G47.00 for billing
G47.00 should be used for billing when a patient presents with symptoms of insomnia, but the type of insomnia is not specified. It is important that the diagnosis in the provider's assessment of the note is based on a thorough clinical evaluation and documented in the patient’s medical record. This code should be used when other, more specific, insomnia diagnoses are not applicable.
Coding guidelines and best practices
When coding for insomnia using G47.00, it is important to:
- Ensure that the diagnosis is well-documented in the provider's assessment portion of the note.
- Use G47.00 only when the specific type of insomnia is not determined. If a more specific diagnosis can be made, use the appropriate code.
- Review and adhere to the latest ICD-10-CM guidelines for coding and reporting.
Common pitfalls in coding with G47.00
- Using G47.00 when a more specific insomnia diagnosis is available. If insomnia is related to a medical condition, use code G47.01.
- Failing to document the clinical justification for the diagnosis.
- Overlooking the need to update the diagnosis if more specific information becomes available.
Instructional guidelines for coding G47.00
- Comprehensive patient evaluation in the provider's assessment portion of the note to rule out other types of insomnia.
- Considering other potential causes of sleep disturbance before assigning this code.
Key resources for G47.00 coding
- CMS ICD-10 Homepage: Provides official resources and guidelines on ICD-10-CM coding.
- WHO ICD-10 Online Browser: Useful for verifying the definitions and relationships between different ICD-10-CM codes.
- American Academy of Sleep Medicine (AASM) guidelines
Conclusion
G47.00 is an ICD-10-CM code for documenting and billing unspecified insomnia. Proper usage requires thorough clinical evaluation and precise documentation in the provider's assessment portion of the note. Adhering to coding guidelines and avoiding common pitfalls helps ensure accurate reporting and optimal patient care.
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