ICD-10 Z72.820
Billable / SpecificSleep deprivation
About ICD-10-CM Z72.820
ICD-10-CM code Z72.820 represents Sleep deprivation. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z72). The 2026 edition of ICD-10-CM Z72.820 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Z72.820. Per CMS ICD-10-CM Tabular 2026.
- Lack of adequate sleep
Type 1 Excludes
Pure excludes, these codes can never be coded together with Z72.820. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- insomnia (G47.0-)
Medicare LCD Coverage for Z72.820
Local Coverage Determinations (LCDs) from CMS MACs that list Z72.820 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z72.820.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Z72.820 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Z72.820
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 Z72.820 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| Z72.820 | V694 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z72.820
Other codes in section Z69-Z76 (Persons encountering health services in other circumstances).
ICD-10 Z72.820, Billing FAQ
Is ICD-10 code Z72.820 billable? +
Yes, Z72.820 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 Z72.820? +
ICD-10 Z72.820 includes: Lack of adequate sleep.
What codes are Type 1 Excludes for Z72.820? +
Type 1 Excludes (never code together with Z72.820): insomnia (G47.0-)
What ICD-9 codes does Z72.820 map to? +
Per CMS GEMs, Z72.820 maps to ICD-9 codes: V694. 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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