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ICD-10 Guide
ICD-10 CodesG47.39

G47.39

Billable

Other sleep apnea

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

Code Description

ICD-10 G47.39 is a billable code used to indicate a diagnosis of other sleep apnea.

Key Diagnostic Point:

Other sleep apnea encompasses various forms of sleep-disordered breathing that do not fit the classic definitions of obstructive sleep apnea (OSA) or central sleep apnea (CSA). This category includes conditions such as complex sleep apnea syndrome, which features both obstructive and central components, as well as other atypical presentations of sleep apnea that may arise from various underlying medical conditions. Patients with other sleep apnea may experience disrupted sleep patterns, excessive daytime sleepiness, and other associated symptoms that can significantly impact their quality of life. Diagnosis typically involves comprehensive sleep studies, including polysomnography, which assesses various physiological parameters during sleep. Treatment options may vary widely based on the underlying cause and can include lifestyle modifications, continuous positive airway pressure (CPAP) therapy, or surgical interventions. Accurate coding for other sleep apnea is crucial for appropriate management and reimbursement, as it reflects the complexity of the patient's condition and the need for tailored therapeutic approaches.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to sleep apnea
  • Overlap with other sleep disorders such as narcolepsy
  • Need for comprehensive sleep study interpretation
  • Potential for misdiagnosis with similar conditions

Audit Risk Factors

  • Inadequate documentation of sleep study results
  • Failure to specify the type of sleep apnea
  • Misclassification of sleep apnea type
  • Lack of supporting clinical evidence for diagnosis

Specialty Focus

Medical Specialties

Sleep Medicine

Documentation Requirements

Detailed sleep study results, clinical history, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with excessive daytime sleepiness, snoring, or observed apneas during sleep.

Billing Considerations

Ensure that all sleep study interpretations are clearly linked to the diagnosis and treatment plan.

Pulmonology

Documentation Requirements

Comprehensive pulmonary evaluations and any comorbid respiratory conditions must be documented.

Common Clinical Scenarios

Patients with chronic respiratory diseases presenting with sleep disturbances.

Billing Considerations

Consideration of how respiratory conditions may exacerbate sleep apnea symptoms.

Coding Guidelines

Inclusion Criteria

Use G47.39 When
  • According to ICD
  • 10 guidelines, G47
  • 39 should be used when the specific type of sleep apnea is not classified elsewhere
  • It is important to document the clinical rationale for using this code, including any relevant sleep study findings

Exclusion Criteria

Do NOT use G47.39 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95810CPT Code

Polysomnography, sleep study

Clinical Scenario

Used for diagnosing sleep apnea and other sleep disorders.

Documentation Requirements

Complete sleep study report and interpretation.

Specialty Considerations

Sleep medicine specialists should ensure comprehensive documentation of findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sleep apnea types, enabling better tracking of patient outcomes and treatment efficacy. G47.39 provides a necessary classification for atypical presentations that were previously underrepresented.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sleep apnea types, enabling better tracking of patient outcomes and treatment efficacy. G47.39 provides a necessary classification for atypical presentations that were previously underrepresented.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sleep apnea types, enabling better tracking of patient outcomes and treatment efficacy. G47.39 provides a necessary classification for atypical presentations that were previously underrepresented.

Resources

Clinical References

  • •
    American Academy of Sleep Medicine

Coding & Billing References

  • •
    American Academy of Sleep Medicine

Frequently Asked Questions

What is the difference between G47.39 and G47.30?

G47.39 is used for other types of sleep apnea that do not fit the criteria for obstructive sleep apnea, while G47.30 is specifically for unspecified obstructive sleep apnea.