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2025 ICD-10-CM code Z72.820

Sleep deprivation. Lack of adequate sleep.

This code should not be used if the patient has insomnia (G47.0-) or problems related to socioeconomic and psychosocial circumstances (Z55-Z65) as the primary reason for the encounter. It should also not be used with problems related to life-management difficulty (Z73.-).A corresponding procedure code must accompany this code if a procedure is performed.

Medical necessity for the encounter is established by the patient's complaint of inadequate sleep impacting their health and well-being. The documentation should support the need for assessment, counseling, or other interventions related to sleep deprivation.

The clinician's responsibility is to assess the patient's sleep patterns, identify potential causes of sleep deprivation, and recommend appropriate interventions. This might involve counseling on sleep hygiene, suggesting lifestyle changes, or referring the patient for further evaluation, such as a sleep study, if necessary.

In simple words: This code is used when someone sees a healthcare professional because they are not getting enough sleep.

This code is used to document an encounter for sleep deprivation, a condition characterized by insufficient duration or quality of sleep.It represents a problem related to lifestyle that influences health status but isn't a current illness or injury.A procedure code must accompany this code if a procedure is performed during the encounter.

Example 1: A patient consults their physician because they are consistently tired due to work-related stress and long hours.They report difficulty falling asleep and staying asleep. After ruling out other medical conditions, the physician diagnoses sleep deprivation and provides counseling on sleep hygiene practices., A new parent presents to their pediatrician reporting exhaustion from frequent nighttime awakenings to care for their infant. The pediatrician documents the sleep deprivation and offers guidance on strategies to improve sleep quality and quantity., A patient with chronic pain reports difficulty sleeping due to their discomfort.The physician documents the sleep deprivation secondary to the underlying pain condition and adjusts the pain management plan.

Documentation should include the patient's reported sleep patterns, duration and quality of sleep, any associated symptoms (e.g., fatigue, difficulty concentrating), and any contributing factors (e.g., stress, lifestyle factors, underlying medical conditions).If a procedure is performed, the corresponding procedure code must also be documented.

** This code represents a reason for the encounter and may not be the primary diagnosis.It is essential to document any underlying conditions contributing to the sleep deprivation.As of 2024-11-30, this information is current.Refer to iFrameAI product for the most updated information.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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