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v1.0.0
ICD-10 Guide
DiagnosesSleep Disordered Breathing

Sleep Disordered Breathing

ICD-10 Coding for Sleep Disordered Breathing(G47.33, G47.31)

PRIMARY SPECIALTYPulmonology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Sleep Disordered Breathing?
Essential facts and insights about Sleep Disordered Breathing

Key Clinical Considerations:

  • Excessive daytime sleepiness
  • Loud snoring
  • Observed apneas during sleep
  • Morning headaches
  • Difficulty concentrating

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of sleep patterns and symptoms
  • Results of polysomnography or home sleep apnea testing
  • Assessment of comorbid conditions (e.g., obesity, hypertension)
  • Use of specific terminology such as 'obstructive sleep apnea' or 'central sleep apnea'

Coding Guidelines

Usage Guidelines & Examples

  • Use G47.33 for obstructive sleep apnea with clear documentation of symptoms.
  • Common errors include using unspecified codes when specific types are applicable.

Code Exclusions

Important Exclusions

  • Central sleep apnea (G47.31)
  • Sleep-related hypoventilation (G47.36)

Related ICD-10 Codes

Primary Codes
G47.33
Obstructive sleep apnea (adult) (pediatric)
G47.30
Sleep apnea, unspecified
Ancillary Codes
R06.83
Differential Codes
G47.31
G47.33

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Pulmonology

Specialty Applications

  • Adults and children with suspected sleep apnea
  • Pulmonology and sleep medicine clinics

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document patient symptoms, results of sleep studies, and any comorbidities.

What are the billing considerations?

Ensure proper coding based on the type of sleep apnea and document medical necessity.