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Adjustment insomnia
ICD10CM code
Name of the Condition
- Adjustment Insomnia
- Also known as: Acute Insomnia or Short-term Insomnia
Summary
Adjustment insomnia is a temporary sleep disorder characterized by difficulty falling asleep or staying asleep, triggered by a significant life stressor or a change in routine.
Causes
- Stressful events such as job loss, moving, or relationship issues.
- Disruptions in sleep schedule due to travel, such as jet lag.
- Changes in sleeping environment or routine.
Risk Factors
- High levels of stress or anxiety.
- Major life changes or transitions.
- Shift work or irregular sleep schedules.
Symptoms
- Difficulty falling asleep or staying asleep.
- Frequent awakenings during the night.
- Feeling tired upon waking.
- Difficulty concentrating during the day due to fatigue.
Diagnosis
- Primarily based on patient's history and reported symptoms.
- Sleep diaries or questionnaires may be used.
- Exclusion of other sleep disorders through clinical assessment.
Treatment Options
- Cognitive Behavioral Therapy for Insomnia (CBT-I) to address thought patterns disrupting sleep.
- Short-term use of sleep medications in acute cases.
- Sleep hygiene education to promote good sleep habits.
Prognosis and Follow-Up
- Generally resolves once the stressor is managed or removed.
- Regular follow-ups might be needed if insomnia persists beyond a few weeks.
Complications
- Chronic insomnia if untreated.
- Increased risk of anxiety or depression.
- Impaired daytime functioning leading to reduced quality of life.
Lifestyle & Prevention
- Maintaining a regular sleep schedule, even on weekends.
- Creating a relaxing bedtime routine to wind down before sleep.
- Limiting caffeine and electronic use before bedtime.
When to Seek Professional Help
- If insomnia occurs for more than three nights a week and persists for several weeks.
- When daily functioning is significantly affected.
Additional Resources
Tips for Medical Coders
- Ensure stressors related to the insomnia are documented for accurate coding.
- Be cautious not to confuse with chronic insomnia, which has a different ICD code.