Hi Dr. Ken Luco! Great questions. Currently, I don”t believe there are many (if any) medical insurers that will consider treatment of sleep bruxism medically necessary and offer coverage for the treatment. There are a few medical insurers that will offer coverage for botox for treatment of “painful bruxism”. For example, here is a link to Aetna’s medical policy for botox: The above policy states: “OnabotulinumtoxinA (Botox Brand of Botulinum Toxin Type A): Aetna considers onabotulinumtoxinA (Botox) medically necessary for any of the following conditions: …… V. Painful bruxism” As far as an ICD-10 diagnosis code for sleep bruxism, there is a specific one for that! G47.63 – Sleep related bruxism And as you mentioned below, if is daytime bruxism and not sleep related, the appropriate code seems to be: F45.8 – Other somatoform disorders Hope this helps, have a great day!
