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F51 · Sleep disorders not due to a substance or known physiological condition

2026 ICD-10-CM Diagnosis Code F51

Code details

Code attributes

  • Non-billable/Non-specific code

Coding rules

  • Specify the leaf code — the parent code (e.g. F32) is a navigational header; billing requires a leaf code (F32.0, F32.1, etc.) that matches the documented presentation.
  • Document onset, course, and severity (mild / moderate / severe) plus functional impact. Payers use this combination when adjudicating medical necessity.
  • Attach a validated instrument score (PHQ-9, GAD-7, PCL-5, or equivalent) at intake and at follow-up where applicable. Objective measures support code selection and continued authorization.
  • Review at every visit and update if presentation changes — including remission and partial remission states.

Clinical information

F51 codes non-organic sleep disorders — distinct from G47 sleep disorders, which cover those due to medical causes. Includes the insomnia subtypes (F51.01–F51.09), hypersomnia (F51.11–F51.19), parasomnias (F51.3 sleepwalking, F51.4 night terrors, F51.5 nightmare disorder), and unspecified codes. Document sleep onset/maintenance pattern, daytime impairment, and rule out substance-induced and primary medical causes (which would route to G47).

Sources

  • Centers for Medicare & Medicaid Services — 2026 ICD-10-CM
  • AAPC — ICD-10-CM Code Lookup
  • CDC — ICD-10-CM Official Guidelines for Coding and Reporting

This reference is provided for billing and documentation guidance only. It is not medical advice. For clinical decision-making, consult the current CMS ICD-10-CM Official Guidelines for Coding and Reporting, and verify code applicability against the patient's documented clinical findings.

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