Primary central sleep apnea
ICD-10 G47.31 is a billable code used to indicate a diagnosis of primary central sleep apnea.
Primary central sleep apnea (CSA) is a sleep disorder characterized by recurrent episodes of apnea due to a lack of respiratory effort during sleep. Unlike obstructive sleep apnea, where airflow is obstructed despite respiratory effort, CSA occurs when the brain fails to send appropriate signals to the muscles that control breathing. This condition can manifest in various forms, including idiopathic CSA, which has no identifiable cause, and CSA associated with other medical conditions such as heart failure or stroke. Patients with CSA often experience disrupted sleep patterns, leading to excessive daytime sleepiness, fatigue, and impaired cognitive function. Diagnosis typically involves polysomnography (sleep study), which records brain waves, oxygen levels, heart rate, and breathing patterns during sleep. Treatment options may include adaptive servo-ventilation (ASV), bilevel positive airway pressure (BiPAP), or supplemental oxygen, depending on the severity and underlying causes. Understanding the nuances of CSA is crucial for accurate diagnosis and effective management.
Detailed sleep study results, clinical history, and treatment plans.
Patients presenting with excessive daytime sleepiness, fatigue, or cognitive impairment.
Ensure clear differentiation between central and obstructive sleep apnea in documentation.
Neurological assessments, history of neurological conditions, and sleep study interpretations.
Patients with neurological disorders presenting with sleep disturbances.
Document any neurological conditions that may contribute to CSA.
Used to diagnose primary central sleep apnea through comprehensive sleep monitoring.
Results of the sleep study must be documented, including apnea-hypopnea index (AHI) and oxygen saturation levels.
Pulmonologists and sleep specialists should ensure accurate interpretation of sleep study data.
Primary central sleep apnea occurs due to a lack of respiratory effort, while obstructive sleep apnea is caused by physical blockage of the airway. Diagnosis is confirmed through sleep studies that differentiate between the two.
