Behavioral insomnia of childhood, sleep-onset assoc type

This code identifies a pediatric sleep disorder characterized by difficulty falling asleep without specific associations or conditions, such as rocking, nursing, or a bottle. The child requires these external stimuli to initiate sleep and often protests when they are not present. This pattern leads to prolonged sleep onset and frequent night awakenings.

Use this code when documenting a diagnosis of insomnia in a child where the primary issue is a learned association with specific objects, people, or activities required for sleep initiation. This typically involves children who can fall asleep independently in other settings but struggle in their usual sleep environment without these specific cues.

• Ensure documentation clearly specifies the "sleep-onset association type" to differentiate from other behavioral insomnias.
• This code is for pediatric patients; consider age appropriateness for the diagnosis.
• Look for physician documentation describing the child's reliance on specific rituals or parental presence to fall asleep.