ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 F51.9

Billable / Specific

Sleep disorder not due to a substance or known physiological condition, unspecified

F51
Block
1
Synonyms
37
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM F51.9

ICD-10-CM code F51.9 represents Sleep disorder not due to a substance or known physiological condition, unspecified. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F51). The 2026 edition of ICD-10-CM F51.9 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under F51.9. Per CMS ICD-10-CM Tabular 2026.

  • Emotional sleep disorder NOS

Medicare LCD Coverage for F51.9

Local Coverage Determinations (LCDs) from CMS MACs that list F51.9 as a covered diagnosis.

37 LCDs

Showing top 10 of 37 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Psychiatric Inpatient Hospitalization
Article ID: 57052, Effective: 2026-03-26 00:00:00, 422 covered, 0 non-covered
CPT XX000 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 90899 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 96131 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 96146 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 96136 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT G0176 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 90837 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 96116 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 90785 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 90847 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F51.9.

4 policies

1 Cigna

Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

3 Medicare

Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-57052
Billing and Coding: Psychiatric Partial Hospitalization Programs
Policy ID: ART-57053
Billing and Coding: Psychological and Neuropsychological Tests
Policy ID: ART-57780

CPT Codes Commonly Billed with F51.9

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for F51.9

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert F51.9 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
F51.9 30740 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 F51.9, Billing FAQ

Is ICD-10 code F51.9 billable? +

Yes, F51.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to F51.9? +

ICD-10 F51.9 includes: Emotional sleep disorder NOS.

What ICD-9 codes does F51.9 map to? +

Per CMS GEMs, F51.9 maps to ICD-9 codes: 30740. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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