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ICD-10 Guide
ICD-10 CodesG47.34

G47.34

Billable

Idiopathic sleep related nonobstructive alveolar hypoventilation

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G47.34 is a billable code used to indicate a diagnosis of idiopathic sleep related nonobstructive alveolar hypoventilation.

Key Diagnostic Point:

Idiopathic sleep-related nonobstructive alveolar hypoventilation is a condition characterized by inadequate ventilation during sleep, leading to elevated carbon dioxide levels and decreased oxygen saturation without any identifiable obstructive cause. Patients typically present with excessive daytime sleepiness, fatigue, and cognitive impairment. Unlike obstructive sleep apnea, which is caused by physical blockage of the airway, this condition arises from a failure of the respiratory system to adequately ventilate the alveoli during sleep. Diagnosis often involves polysomnography, which reveals hypoventilation patterns, and may require arterial blood gas analysis to confirm hypercapnia (elevated carbon dioxide levels) during sleep. The idiopathic nature of this condition means that no specific underlying pathology can be identified, making management challenging and often requiring a multidisciplinary approach, including lifestyle modifications, respiratory support, and continuous positive airway pressure (CPAP) therapy in some cases.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of clear etiology, making diagnosis challenging.
  • Need for comprehensive sleep study interpretation.
  • Differentiation from other sleep disorders like obstructive sleep apnea.
  • Potential overlap with other respiratory conditions.

Audit Risk Factors

  • Inadequate documentation of sleep study results.
  • Failure to document the idiopathic nature of the condition.
  • Lack of evidence for clinical symptoms like daytime sleepiness.
  • Insufficient follow-up documentation on treatment efficacy.

Specialty Focus

Medical Specialties

Pulmonology

Documentation Requirements

Detailed sleep study results, arterial blood gas analysis, and clinical symptoms.

Common Clinical Scenarios

Patients presenting with unexplained daytime sleepiness and fatigue, requiring evaluation for hypoventilation.

Billing Considerations

Ensure comprehensive documentation of respiratory function tests and any comorbid conditions.

Sleep Medicine

Documentation Requirements

Polysomnography reports, patient history, and symptom diaries.

Common Clinical Scenarios

Patients with suspected sleep-related breathing disorders undergoing sleep studies.

Billing Considerations

Accurate interpretation of sleep study data is crucial for correct coding.

Coding Guidelines

Inclusion Criteria

Use G47.34 When
  • According to ICD
  • 10 guidelines, G47
  • 34 should be used when the condition is confirmed through polysomnography and other diagnostic criteria
  • It is important to document the idiopathic nature of the hypoventilation clearly

Exclusion Criteria

Do NOT use G47.34 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95810CPT Code

Polysomnography, sleep study

Clinical Scenario

Used to diagnose G47.34 through sleep study.

Documentation Requirements

Complete sleep study report and interpretation.

Specialty Considerations

Ensure the sleep study is interpreted by a qualified sleep specialist.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sleep-related disorders, including G47.34, which helps in better tracking and management of these conditions. It provides a clearer framework for distinguishing between obstructive and nonobstructive hypoventilation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sleep-related disorders, including G47.34, which helps in better tracking and management of these conditions. It provides a clearer framework for distinguishing between obstructive and nonobstructive hypoventilation.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Academy of Sleep Medicine

Coding & Billing References

  • •
    American Academy of Sleep Medicine

Frequently Asked Questions

What is the primary cause of idiopathic sleep-related nonobstructive alveolar hypoventilation?

The primary cause is unknown, hence the term 'idiopathic.' It is characterized by inadequate ventilation during sleep without any identifiable obstructive cause.