9/5/2023 0 Comments Late onset insomnia icd 10![]() ![]() Then, she’d be stressed, tired, and irritable at work. After awakening, Jennifer was unable to fall back asleep so she would end-up being up until bedtime. The problem was she kept waking up at 3:00 am each morning from a nightmare. Jennifer left home around 7:00 am each morning to attend her first class at 8:00 am. Jennifer, a 20-year-old college student, who, at the time, was pursuing a business administration degree, sought treatment after struggling with waking-up too early every morning. The ICD-10 code should have been F51.02 (adjustment-related insomnia). Michael’s condition was incorrectly coded. And, after a full physical exam nothing was deemed “abnormal” or “irregular.” After the assessment, Michael’s doctor coded his condition as “adjustment disorder” ( F43.20). On the day of his doctor’s visit, Michael’s vitals were normal. However, he does not appear to have any chronic illnesses. Michael’s wife reported that Michael sometimes suffers from “shaky or jerky legs” while asleep. By the time Michael sought treatment he was drinking between four and five cups of coffee each day and two pegs (60 ml) of whiskey before bed every night. ![]() He had never had a hard time sleeping before his brother’s death. Michael reported that his problems began after his twin brother died from a car accident. Michael, a 45-year-old married man, sought treatment because he had been unable to sleep for 3 months. Listed below are two ICD-10 insomnia case studies: Michael Insomnia due to Amphetamines, caffeine, or another stimulant such as: Insomnia due to sedative, anxiolytic or hypnotic factors: Insomnia not due to a health condition or substance abuse, but specified Insomnia due to depression, anxiety, or another mental health condition Psychiatric insomnia
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