Sleep disorders can impact a healthy lifestyle.

Are you getting enough sleep? So often we sacrifice sleep for work, housework, family demands, or watching that good movie or basketball game. Sleep is just as important as a healthy diet and regular physical activity. Poor sleep habits can lead to an increased health risk for obesity, diabetes mellitus, hypertension, coronary artery disease, stroke, or poor mental health.

How much sleep do you need? According to the American Academy of Sleep Medicine, you need this much sleep if you are:

  • 4 – 12 months > 12 – 16 hours
  • 1 – 2 years > 11 – 14 hours
  • 3 – 5 years > 10 – 13 hours
  • 6 – 12 years > 9 – 12 hours
  • 13 – 18 years > 8 – 10 hours
  • 18 – 60 years > 7 or more hours

As previously mentioned, a lack of sleep can lead to some chronic disease such as the following:

  • Diabetes, Type 2 – sleep duration and quality are predictors of A1C which is a marker for blood sugar control.
  • Cardiovascular Disease – sleep apnea is a predictor of cardiovascular disease.
  • Obesity – insufficient sleep impacts the function of the hypothalamus which regulates appetite and energy usage in children.
  • Depression – sleep disturbance can be a symptom of depression

Some other key sleep disorder diagnoses include the following:

  • Insomnia which is the inability to initiate or maintain sleep.The code for this condition is G47.00 and it is not a Comorbid/Complication (CC) or Major Comorbid/Complication (MCC). If insomnia is associated with drug/alcohol use, abuse, or dependence, then the condition will be a Hierarchical Condition Category (HCC).
  • Narcolepsy is excessive daytime sleepiness combined with sudden muscle weakness. The ICD-10-CM code is G47.419. The code is not a CC or MCC and does not qualify as an HCC.
  • Restless Leg Syndrome (RLS) is a “creeping” sensation associated with aches and pains throughout the legs and is relieved by movement of the legs. This condition is coded as G25.81 and is not a CC or MCC. This code has not been assigned HCC status.
  • Sleep apnea is an interruption of regular breathing or obstruction of the airway during sleep. Signs and symptoms may include snoring, gasping, or snorting noises during sleep. This condition may lead to congestive heart failure. Sleep apnea is coded as G47.30 and is not a CC or MCC. This condition is not on the HCC list either.  

The Center for Disease Control  and Prevention (CDC) recommends that to improve your sleep habits you should have a consistent bedtime; have a quiet, dark, and relaxing bedroom; remove electronic devices; avoid large meals, caffeine, and alcohol before bedtime; avoid nicotine/tobacco; and get exercise during the day. Quality is just as important as quantity. If you are feeling sleepy in the morning, your sleep quality may be suspicious. Finally, you should report your sleep habits to your physician for early detection and prevention of other chronic diseases or sleep disorders.


Resources:

Centers for Medicare and Medicaid Services (CMS) Mid-Year 2019 HCC Mappings.

Centers for Medicare and Medicaid Services (CMS) v36 Table J (Complete List of CCs) and Table I (Complete List of MCCs).  

Centers for Disease Control and Prevention (CDC).

Listen to Laurie’s June 25, 2019 Coding Report segment about I10 coding sleep disorders on Talk Ten Tuesdays 

Facebook
Twitter
LinkedIn

Laurie M. Johnson, MS, RHIA, FAHIMA, AHIMA Approved ICD-10-CM/PCS Trainer

Laurie Johnson is currently a senior healthcare consultant for Revenue Cycle Solutions, based in Pittsburgh, Pa. Laurie is an AHIMA-approved ICD-10-CM/PCS trainer. She has more than 35 years of experience in health information management and specializes in coding and related functions. She has been a featured speaker in over 40 conferences. Laurie is a member of the ICD10monitor editorial board and is a permanent panelist on Talk Ten Tuesdays

Related Stories

CMS POSTS 80 New PCS Codes

CMS Posts 80 New PCS Codes

With the April 1 update, the Centers for Medicare and Medicaid Services (CMS) implemented 80 new PCS codes. To break it down, there are 24

Read More

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Mastering Breast Biopsy Billing: Guidance-Driven Coding for Accurate Reimbursement

Breast biopsy procedures may be clinically straightforward but accurately translating them into compliant billing can be anything but. In this focused webcast, Shawn Blackburn, CPC, CPMA, CIC, CRC, CCS-P breaks down how imaging guidance, lesion count, laterality, and payer expectations all impact how these procedures should be reported. Through clear explanations and real-world scenarios, you’ll gain practical insight into aligning clinical workflows with billing requirements, avoiding common pitfalls, and ensuring your documentation supports accurate reimbursement and compliance.

May 21, 2026

Mastering OB GYN Coding Accuracy: Precision Coding for Compliance and Reimbursement

Gain clarity and confidence in OB‑GYN coding with this expert‑led webcast featuring Sherri L. Clayton, RHIT, CSS. You’ll learn how to apply global maternity package rules accurately, select the right CPT codes for procedures and visits, and identify documentation gaps that lead to denials. With practical guidance and real examples, this session helps you strengthen compliance, reduce audit risk, and ensure accurate reimbursement for women’s health services.

May 14, 2026

2026 ICD-10-CM/PCS Coding Clinic Update Webcast Series

Uncover essential coding insights with nationally recognized coding authority Kay Piper, RHIA, CDIP, CCS. Through ICD10monitor’s interactive, on‑demand webcast series, Kay walks you through the AHA’s 2026 ICD‑10‑CM/PCS Quarterly Coding Clinics, translating each update into practical, easy‑to‑apply guidance designed to sharpen precision, ensure compliance, and strengthen day‑to‑day decision‑making. Available shortly after each official release.

April 13, 2026

2026 ICD-10-CM/PCS Coding Clinic Update: Fourth Quarter

Uncover critical guidance on the ICD-10-CM/PCS code updates. Kay Piper reviews and explains ICD-10-CM/PCS coding guidelines in the AHA’s fourth quarter 2026 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.

December 14, 2026

Trending News

Featured Webcasts

Reengineering Utilization Management: Building an Adaptive Model for the New Payer Era

Traditional utilization management models can no longer keep pace with regulatory shifts, payer scrutiny, and operational pressures. In this webcast, Tiffany Ferguson, LMSW, CMAC, ACM, ACPA-C, introduces an Adaptive Model strategy that modernizes UM through role specialization, technology-driven workflows, and proactive, team-based processes. Attendees will learn how to restructure programs to improve efficiency, strengthen clinical collaboration, and enhance financial performance in a rapidly changing healthcare environment.

May 20, 2026

Compliance for the Inpatient Psychiatric Facility (IPF-PPS): Minimizing Federal Audit Findings by Strengthening Best Practices

Federal auditors are intensifying their focus on inpatient psychiatric facilities, using advanced data analytics to spotlight outliers and pursue high‑dollar repayments. In this high‑impact webcast, Michael Calahan, PA, MBA, Compliance Officer and V.P., Hospital & Physician Compliance, breaks down what regulators are really targeting in IPF-PPS admissions, documentation, treatment and discharge planning. Attendees will learn practical steps to tighten processes, avoid common audit triggers and protect reimbursement and reduce the risk of multimillion-dollar repayment demands.

April 9, 2026

Mastering MDM for Accurate Professional Fee Coding

In this timely session, Stacey Shillito, CDIP, CPMA, CCS, CCS-P, CPEDC, COPC, breaks down the complexities of Medical Decision Making (MDM) documentation so providers can confidently capture the true complexity of their care. Attendees will learn practical, efficient strategies to ensure documentation aligns with current E/M guidelines, supports accurate coding, and reduces audit risk, all without adding to charting time.

March 31, 2026

The PEPPER Returns – Risk and Opportunity at Your Fingertips

Join Ronald Hirsch, MD, FACP, CHCQM for The PEPPER Returns – Risk and Opportunity at Your Fingertips, a practical webcast that demystifies the PEPPER and shows you how to turn complex claims data into actionable insights. Dr. Hirsch will explain how to interpret key measures, identify compliance risks, uncover missed revenue opportunities, and understand new updates in the PEPPER, all to help your organization stay ahead of audits and use this powerful data proactively.

March 19, 2026

Trending News

Happy HIP Week! Sign up to win free access to our 2026 Coding Clinic Update Webcast Series! Click here to learn more →

Prepare for the 2025 CMS IPPS Final Rule with ICD10monitor’s IPPSPalooza! Click HERE to learn more

Get 15% OFF on all educational webcasts at ICD10monitor with code JULYFOURTH24 until July 4, 2024—start learning today!

BLOOM INTO SAVINGS! Get 25% OFF during our spring sale through March 27. Use code SPRING26 at checkout to claim this offer.

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24