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ICD-10 Guide
ICD-10 CodesG47.69

G47.69

Billable

Other sleep related movement disorders

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

Code Description

ICD-10 G47.69 is a billable code used to indicate a diagnosis of other sleep related movement disorders.

Key Diagnostic Point:

G47.69 encompasses a variety of sleep-related movement disorders that do not fall under more specific categories such as restless legs syndrome or periodic limb movement disorder. These disorders can manifest as abnormal movements during sleep, which may disrupt sleep quality and lead to daytime fatigue. Common symptoms include involuntary movements, jerking, or twitching during sleep, which can be associated with other sleep disorders like sleep apnea or narcolepsy. The diagnosis often requires a comprehensive sleep study (polysomnography) to differentiate between various sleep disorders and to assess the impact of these movements on sleep architecture. Treatment may involve lifestyle changes, pharmacotherapy, or addressing underlying conditions contributing to the movement disorders. Accurate coding is essential for proper management and reimbursement, as these disorders can significantly affect a patient's quality of life and overall health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms that can overlap with other sleep disorders
  • Need for comprehensive sleep study interpretation
  • Potential co-morbidities that complicate diagnosis
  • Variability in clinical presentation among patients

Audit Risk Factors

  • Inadequate documentation of symptoms and their impact on sleep
  • Failure to perform or document sleep studies
  • Misdiagnosis due to overlapping symptoms with other sleep disorders
  • Lack of follow-up documentation on treatment efficacy

Specialty Focus

Medical Specialties

Sleep Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with insomnia, excessive daytime sleepiness, or abnormal movements during sleep.

Billing Considerations

Ensure all sleep study results are documented and correlate with the diagnosis.

Neurology

Documentation Requirements

Neurological examination findings, history of movement disorders, and any relevant imaging studies.

Common Clinical Scenarios

Patients with known neurological conditions presenting with sleep disturbances.

Billing Considerations

Document any neurological assessments that may relate to sleep movement disorders.

Coding Guidelines

Inclusion Criteria

Use G47.69 When
  • According to ICD
  • 10 guidelines, G47
  • 69 should be used when the specific type of sleep
  • related movement disorder is not classified elsewhere
  • Coders should ensure that the documentation supports the diagnosis and that other potential causes of sleep disturbances are ruled out

Exclusion Criteria

Do NOT use G47.69 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95810CPT Code

Polysomnography, sleep study

Clinical Scenario

Used to diagnose sleep-related movement disorders.

Documentation Requirements

Complete sleep study report, including findings on movement disorders.

Specialty Considerations

Sleep medicine specialists should ensure comprehensive documentation of sleep architecture.

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 movement disorders, improving the accuracy of diagnoses and treatment plans. G47.69 provides a broader category for conditions that may not fit neatly into other classifications, allowing for better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sleep-related movement disorders, improving the accuracy of diagnoses and treatment plans. G47.69 provides a broader category for conditions that may not fit neatly into other classifications, allowing for better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sleep-related movement disorders, improving the accuracy of diagnoses and treatment plans. G47.69 provides a broader category for conditions that may not fit neatly into other classifications, allowing for better patient management.

Resources

Clinical References

  • •
    American Academy of Sleep Medicine

Coding & Billing References

  • •
    American Academy of Sleep Medicine

Frequently Asked Questions

What are the common symptoms associated with G47.69?

Common symptoms include involuntary movements during sleep, disrupted sleep patterns, and excessive daytime sleepiness. Patients may also report fatigue and difficulty concentrating due to poor sleep quality.

How is G47.69 diagnosed?

Diagnosis typically involves a detailed sleep history, clinical evaluation, and polysomnography to assess the frequency and type of movements during sleep.