F51.1
Non-Billable

Hypersomnia not due to a substance or known physiological condition

Non-Billable / Non-Specific Code

What is Hypersomnia not due to a substance or known physiological condition?

ICD-10-CM F51.1 is the diagnosis code for Hypersomnia not due to a substance or known physiological condition. This code falls under the section "Behavioral syndromes associated with physiological disturbances and physical factors" within Chapter 5 — Mental, Behavioral and Neurodevelopmental disorders (F01-F99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

â„šī¸ Excludes2

Coding Guidelines for F51.1

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in F51.1. If the patient has both, code each condition separately:

  • alcohol related hypersomnia (F10.182, F10.282, F10.982)
  • drug-related hypersomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
  • hypersomnia NOS (G47.10)
  • hypersomnia due to known physiological condition (G47.10)
  • idiopathic hypersomnia (G47.11, G47.12)
  • narcolepsy (G47.4-)

ICD-10-CM Code Hierarchy

Understanding where F51.1 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 4 entries
F51.11Primary hypersomniaBillableF51.12Insufficient sleep syndromeBillableF51.13Hypersomnia due to other mental disorderBillableF51.19Other hypersomnia not due to a substance or known physiological conditionBillable
Related Codes

Frequently Asked Questions

Is F51.1 a billable ICD-10-CM code?

No, F51.1 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does F51.1 mean?

F51.1 is the ICD-10-CM diagnosis code for "Hypersomnia not due to a substance or known physiological condition". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of F51.1?

The parent code of F51.1 is F51 ("Sleep disorders not due to a substance or known physiological condition"). F51.1 provides a more specific classification within this category.

What section is F51.1 in?

F51.1 is located in Section F50-F59 — "Behavioral syndromes associated with physiological disturbances and physical factors" within Chapter 5 of the ICD-10-CM Tabular List.

What are the sub-codes of F51.1?

F51.1 has 4 sub-code(s) that provide more specific detail: F51.11, F51.12, F51.13, F51.19.

When should I use F51.1?

Use F51.1 when the patients documented diagnosis matches "Hypersomnia not due to a substance or known physiological condition" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Hypersomnia not due to a substance or known physiological condition?

The ICD-10-CM code for Hypersomnia not due to a substance or known physiological condition is F51.1.

Can F51.1 be used for primary diagnosis?

No, F51.1 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is F51.1 in?

F51.1 is in Chapter 5 of the ICD-10-CM Tabular List.

Is F51.1 valid for 2026?

Yes, F51.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousF51.09Other insomnia not due to a substance or known physiological conditionNext →F51.11Primary hypersomnia
Code Details
F51.1
Hypersomnia not due to a substance or known physiological condition
Non-Billable / Non-Specific Code
5 — Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
F50-F59 — Behavioral syndromes associated with physiological disturbances and physical factors
2026 ICD-10-CM