Sleep disorders
Chapter 6:Diseases of the nervous system
ICD-10 G47 is a billable code used to indicate a diagnosis of sleep disorders.
Sleep disorders encompass a variety of conditions that disrupt normal sleep patterns, affecting both the quality and quantity of sleep. Common sleep disorders include insomnia, sleep apnea, narcolepsy, restless legs syndrome, and parasomnias. Sleep apnea, characterized by repeated interruptions in breathing during sleep, can lead to significant health issues such as cardiovascular disease and daytime fatigue. Narcolepsy is a neurological disorder that affects the brain's ability to regulate sleep-wake cycles, often resulting in excessive daytime sleepiness and sudden sleep attacks. The diagnosis of sleep disorders typically involves a comprehensive evaluation, including patient history, physical examination, and often polysomnography (sleep study) to monitor various physiological parameters during sleep. Accurate coding of sleep disorders is crucial for appropriate treatment and management, as well as for insurance reimbursement. Understanding the nuances of each disorder, including their symptoms, diagnostic criteria, and treatment options, is essential for effective coding and documentation.
Comprehensive sleep history, results of polysomnography, and treatment plans.
Patients presenting with excessive daytime sleepiness, loud snoring, or observed apneas during sleep.
Ensure accurate documentation of the severity of the disorder and any comorbid conditions.
Detailed respiratory assessments, sleep study interpretations, and treatment responses.
Patients with chronic obstructive pulmonary disease (COPD) experiencing sleep disturbances.
Document any overlap with respiratory conditions and their impact on sleep quality.
Used for diagnosing sleep apnea or other sleep disorders.
Document the reason for the study, patient history, and results.
Sleep specialists should ensure comprehensive reporting of findings.
G47.0 refers to obstructive sleep apnea, which is caused by physical blockage of the airway, while G47.1 refers to central sleep apnea, which is due to a failure of the brain to send appropriate signals to the muscles that control breathing.
