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ICD-10 Guide
ICD-10 CodesG47.54

G47.54

Billable

Parasomnia in conditions classified elsewhere

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

Code Description

ICD-10 G47.54 is a billable code used to indicate a diagnosis of parasomnia in conditions classified elsewhere.

Key Diagnostic Point:

G47.54 refers to parasomnias that occur in the context of other sleep disorders, such as sleep apnea or narcolepsy. Parasomnias are abnormal behaviors or experiences that occur during sleep, including sleepwalking, night terrors, and REM sleep behavior disorder. These conditions can significantly impact the quality of sleep and overall health. In patients with sleep apnea, for instance, the frequent interruptions in breathing can lead to fragmented sleep, which may trigger parasomnias. Similarly, individuals with narcolepsy may experience episodes of sudden sleep onset, which can be accompanied by parasomnias. Accurate diagnosis often requires a comprehensive sleep study, which may include polysomnography to monitor brain waves, oxygen levels, heart rate, and breathing during sleep. Understanding the interplay between these disorders is crucial for effective treatment and management, as addressing the underlying sleep disorder may alleviate the parasomnia symptoms.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between primary and secondary parasomnias
  • Understanding the relationship between parasomnias and other sleep disorders
  • Interpreting sleep study results accurately
  • Documenting the specific nature of the parasomnia

Audit Risk Factors

  • Inadequate documentation linking parasomnia to the underlying condition
  • Failure to specify the type of parasomnia
  • Misinterpretation of sleep study results
  • Incorrect coding of comorbid conditions

Specialty Focus

Medical Specialties

Sleep Medicine

Documentation Requirements

Detailed sleep history, results of polysomnography, and treatment plans.

Common Clinical Scenarios

Patients presenting with sleep disturbances, excessive daytime sleepiness, or abnormal sleep behaviors.

Billing Considerations

Ensure that all sleep-related symptoms are documented and linked to the appropriate diagnosis.

Neurology

Documentation Requirements

Neurological evaluations, history of seizures or other neurological disorders, and sleep study results.

Common Clinical Scenarios

Patients with neurological conditions presenting with sleep disturbances or parasomnias.

Billing Considerations

Document any neurological assessments that may relate to sleep disorders.

Coding Guidelines

Inclusion Criteria

Use G47.54 When
  • According to ICD
  • 10 guidelines, G47
  • 54 should be used when the parasomnia is a direct result of another sleep disorder
  • Coders must ensure that the primary condition is documented and that the parasomnia is clearly linked to it

Exclusion Criteria

Do NOT use G47.54 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95810CPT Code

Polysomnography, sleep study

Clinical Scenario

Used to diagnose sleep disorders including those leading to parasomnia.

Documentation Requirements

Complete sleep study report and physician interpretation.

Specialty Considerations

Sleep 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 parasomnias, improving the accuracy of diagnoses and treatment plans. G47.54 provides a clear framework for identifying parasomnias associated with other sleep disorders.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of parasomnias, improving the accuracy of diagnoses and treatment plans. G47.54 provides a clear framework for identifying parasomnias associated with other sleep disorders.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of parasomnias, improving the accuracy of diagnoses and treatment plans. G47.54 provides a clear framework for identifying parasomnias associated with other sleep disorders.

Resources

Clinical References

  • •
    American Academy of Sleep Medicine

Coding & Billing References

  • •
    American Academy of Sleep Medicine

Frequently Asked Questions

What is the significance of coding G47.54?

Coding G47.54 is significant as it helps healthcare providers accurately document and treat parasomnias that are secondary to other sleep disorders, ensuring appropriate management and reimbursement.