Narcolepsy with cataplexy
ICD-10 G47.411 is a billable code used to indicate a diagnosis of narcolepsy with cataplexy.
Narcolepsy with cataplexy is a chronic neurological disorder characterized by excessive daytime sleepiness and sudden episodes of muscle weakness (cataplexy) triggered by strong emotions such as laughter, anger, or surprise. Patients may experience disrupted nighttime sleep, vivid hallucinations, and sleep paralysis. The condition is caused by a deficiency of hypocretin (orexin), a neurotransmitter that regulates wakefulness and REM sleep. Diagnosis typically involves a comprehensive sleep study (polysomnography) and a multiple sleep latency test (MSLT) to assess the degree of daytime sleepiness and the presence of REM sleep during naps. Treatment options include lifestyle modifications, stimulant medications to promote wakefulness, and sodium oxybate to manage cataplexy. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the patient's condition.
Detailed patient history, sleep study results, and documentation of cataplexy episodes.
Patients presenting with excessive daytime sleepiness and cataplexy triggered by emotional stimuli.
Ensure documentation reflects the severity and frequency of cataplexy episodes.
Comprehensive sleep study reports and MSLT results.
Patients undergoing evaluation for sleep disorders with suspected narcolepsy.
Accurate interpretation of polysomnography and MSLT findings is crucial.
Used to diagnose narcolepsy and assess sleep architecture.
Detailed report of sleep study findings, including REM sleep onset.
Sleep specialists must ensure accurate interpretation of results.
The primary symptom is excessive daytime sleepiness, often accompanied by sudden episodes of muscle weakness triggered by strong emotions.
