Sleep Disorder ICD-10-CM Codes

Discover ICD-10 Codes for Sleep Disorders: Learn about essential diagnosis codes for accurately categorizing and billing various sleep-related conditions.

By Liliana Braun on Feb 29, 2024.

Fact Checked by RJ Gumban.

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Sleep Disorder ICD-10-CM Codes

What ICD-10 Codes are Used for Sleep Disorder 

Sleep disorders encompass a range of conditions that can significantly impact an individual's sleep quality and overall well-being. The International Classification of Diseases, 10th Edition (ICD-10), provides codes to categorize and document these disorders for medical billing and coding purposes. Below are commonly used sleep disorder ICD-10 codes, along with clinical descriptions for various sleep disorders:

  1. G47.00 - Insomnia, Unspecified: Insomnia is when someone has trouble sleeping, which can cause fatigue, impaired concentration, and a lower quality of life.
  2. G47.30 - Sleep Apnea, Unspecified: Sleep apnea is when breathing pauses during sleep, causing disrupted sleep patterns and potential health issues.
  3. G47.52 - REM Sleep Behavior Disorder: REM sleep behavior disorder causes physical acting out of vivid dreams during REM sleep, leading to self-injury or harm to others.
  4. G47.63 - Sleep-Related Movement Disorder, Unspecified: This code deals with sleep-related movement disorders that cause involuntary movements during sleep, resulting in poor sleep quality and daytime fatigue.
  5. G47.9 - Sleep Disorder, Unspecified: This code is used when a sleep disorder cannot be accurately diagnosed, and more evaluation is needed.
  6. G47.30 - Narcolepsy, Unspecified: Narcolepsy causes excessive daytime sleepiness and sudden muscle weakness triggered by strong emotions, which can disrupt daily activities and social interactions.
  7. G47.10 - Hypersomnia, Unspecified: Hypersomnia causes excessive daytime sleepiness, leading to poor cognitive function and productivity.
  8. G47.8 - Other Sleep Disorders: This code covers sleep disorders like circadian rhythm disruptions and sleepwalking.

These ICD-10 codes provide a systematic way to identify and communicate sleep disorders within the healthcare industry. Accurate coding is crucial for proper medical billing and records.

For more detailed information about sleep disorder ICD codes and how they are used in medical billing and coding, you can explore the resources available in Carepatron. Learn more about these codes and their significance, providing insights into sleep disorder coding.

In addition to this information, you may check this explainer video further to enhance your understanding of sleep disorder ICD codes:

Which Sleep Disorder ICD codes are Billable?

Here's a list of commonly used sleep disorder ICD-10 codes, along with whether they are billable:

  • G47.00 - Insomnia, Unspecified: Yes
  • G47.30 - Sleep Apnea, Unspecified: Yes
  • G47.52 - REM Sleep Behavior Disorder: Yes
  • G47.63 - Sleep-Related Movement Disorder, Unspecified: Yes
  • G47.9 - Sleep Disorder, Unspecified: Yes
  • G47.30 - Narcolepsy, Unspecified: Yes
  • G47.10 - Hypersomnia, Unspecified: Yes
  • G47.8 - Other Sleep Disorders: Yes

These ICD-10 codes for sleep disorders are billable when used appropriately for medical documentation, diagnosis, and billing purposes. Accurate coding ensures proper reimbursement and effective communication of the patient's condition within the healthcare system.

Clinical Information

Sleep disorders encapsulate a diverse spectrum of conditions that profoundly impact an individual's physical vitality and emotional well-being.

Insomnia (G47.00)

  • Manifests as persistent challenges in initiating or maintaining sleep.
  • Often intricately interwoven with stress, anxiety, and lifestyle dynamics.
  • Imparts a cascade of repercussions, encompassing daytime fatigue, cognitive debilitation, and emotional turbulence.

Sleep Apnea (G47.30)

  • Characterized by episodic cessation of breathing during sleep.
  • It provokes a disruptive sleep cycle, accompanied by escalated cardiovascular vulnerabilities.
  • Noteworthy symptoms encompass robust snoring, sudden gasping, and daytime somnolence.

REM Sleep Behavior Disorder (G47.52)

  • It unveils an intriguing phenomenon wherein individuals enact vivid dreams within the REM sleep phase.
  • It may unexpectedly culminate in self-inflicted injuries or endangering others sharing the sleep environment.
  • Tightly interlinked with neurological terrain, necessitating specialized interventions.

Sleep-Related Movement Disorder (G47.63)

  • Spotlights involuntary nocturnal movements that perturb the continuity of sleep.
  • Diverse movements oscillate between subtle twitches and more pronounced motions.
  • Aggravated by stressors and certain pharmacological agents.

Narcolepsy (G47.30)

  • Unleashes excessive daytime sleepiness, punctuated by unexpected muscular weakness episodes.
  • Cataplexy, triggered by emotional triggers, induces temporary muscle tone diminishment.
  • It entails protracted management for optimizing daily functional efficacy.

Hypersomnia (G47.10)

  • Unveils a spectrum of excessive daytime sleepiness, sabotaging wakefulness during customary hours.
  • Compromises cognitive prowess and truncates professional productivity.
  • Represents a compelling challenge necessitating holistic strategies.

Other Sleep Disorders (G47.8)

  • Broadly encapsulates sleep disturbances encompassing circadian rhythm aberrations and parasomnias.
  • Circadian rhythm irregularities destabilize sleep-wake synchronicity.
  • Parasomnias entail activities like sleepwalking, night terrors, and enuresis.

Holistic Approach and Implications

  • Proficient diagnosis and tailored management are pivotal for ameliorating sleep quality, augmenting daily functional prowess, and thwarting latent health perils.
  • Effective intercommunication among healthcare stakeholders and adept ICD-10 code applications converge toward comprehensive patient care, accentuated by precise medical billing processes.

Synonyms Include

  • Sleep Disturbances
  • Nocturnal Disorders
  • Sleep Irregularities
  • Somnological Conditions
  • Insomnias
  • Sleep Dysfunction
  • Hypnopathies
  • Sleep Abnormalities
  • Somnipathies
  • Sleep Anomalies
Medical Billing and Coding Software

Commonly asked questions

When should I use a Sleep Disorder ICD code?

ICD codes categorize sleep-related conditions for medical purposes, accurately representing patients' sleep disorders.

Are diagnoses of Sleep Disorders billable?

Sleep disorder diagnoses are billable and coded for reimbursement and communication among medical professionals.

What are common treatments for Sleep Disorder Diagnosis Codes?

Treatments for sleep disorders vary depending on the specific diagnosis. Common approaches include lifestyle modifications (sleep hygiene), cognitive-behavioral therapy, medications, continuous positive airway pressure (CPAP) therapy for sleep apnea, and interventions to manage underlying medical conditions.

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