Identifying Insomnia in Administrative Data
Insomnia, one of the most widespread sleep disorders worldwide, affects approximately one-third of adults. It can lead to numerous issues such as health complications, mood changes, impaired work performance and daytime sleepiness.
To accurately diagnose insomnia, a doctor needs to collect medical information from the patient and perform an extensive evaluation of sleeping patterns. This may include taking a medical history, conducting a sleep study, ordering blood tests, and other diagnostic procedures.
The International Classification of Diseases and Related Health Problems, Tenth Edition (ICD-10), is an internationally recognized classification system for diseases and other health conditions. It was created to facilitate communication among healthcare professionals from different countries.
Physicians need ICD-10 codes to accurately diagnose and report common health conditions. Utilizing the correct ICD-10 codes will enable physicians to submit claims with optimal reimbursement rates.
Insomnia is a serious condition that can have detrimental effects on one’s health and quality of life. It may be caused by stress, alcohol consumption, smoking habits and caffeine intake, depression symptoms, medication side effects or changes to lifestyle.
Sleep disorders are typically diagnosed through medical history, sleep studies, the patient’s response to medication, and other tests. For each sleep disorder, physicians use a distinct ICD-9 or ICD-10 code.
The ICD-10 code for insomnia is 00 and can be used to code sleep disorders as billable items. Physicians may request medical billing companies’ assistance with accurate and complete claims submission in order to maximize reimbursement from insurance companies.