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ICD-10 Guide
ICD-10 CodesG47.6

G47.6

Billable

Sleep related movement disorders

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

Code Description

ICD-10 G47.6 is a billable code used to indicate a diagnosis of sleep related movement disorders.

Key Diagnostic Point:

Sleep-related movement disorders encompass a range of conditions characterized by abnormal movements during sleep that can disrupt sleep quality and lead to daytime impairment. These disorders include restless legs syndrome (RLS), periodic limb movement disorder (PLMD), and other movement disorders that occur during sleep. Patients may experience involuntary movements, such as leg jerking or twitching, which can lead to frequent awakenings and fragmented sleep. The etiology of these disorders can be multifactorial, including genetic predisposition, neurological conditions, and environmental factors. Diagnosis typically involves a thorough clinical history, sleep studies (polysomnography), and sometimes additional neurological evaluations. Treatment may include lifestyle modifications, pharmacotherapy, and addressing underlying conditions. Accurate coding for sleep-related movement disorders is crucial for appropriate management and reimbursement, as these conditions can significantly impact a patient's quality of life and overall health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of movement disorders included under the code
  • Need for comprehensive sleep study interpretation
  • Differentiation from other sleep disorders like sleep apnea and narcolepsy
  • Potential overlap with neurological conditions

Audit Risk Factors

  • Inadequate documentation of sleep study results
  • Failure to specify the type of movement disorder
  • Misclassification of symptoms as primary sleep disorders
  • Lack of correlation between clinical findings and coding

Specialty Focus

Medical Specialties

Sleep Medicine

Documentation Requirements

Detailed sleep history, results of polysomnography, and any comorbid conditions.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all relevant sleep study data is included in the documentation to support the diagnosis.

Neurology

Documentation Requirements

Neurological evaluations, 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 findings that may contribute to sleep-related movement disorders.

Coding Guidelines

Inclusion Criteria

Use G47.6 When
  • According to ICD
  • 10 coding guidelines, G47
  • 6 should be used when the primary diagnosis is a sleep
  • related movement disorder
  • It is important to document the specific type of movement disorder and any associated symptoms
  • related or are better classified under other neurological codes

Exclusion Criteria

Do NOT use G47.6 When
  • Exclusion criteria include conditions that are not primarily sleep

Related ICD-10 Codes

Related CPT Codes

95810CPT Code

Polysomnography, sleep study

Clinical Scenario

Used to diagnose sleep-related movement disorders.

Documentation Requirements

Results of the sleep study must be documented, including any abnormal findings.

Specialty Considerations

Sleep specialists should ensure comprehensive reporting of sleep study results.

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. This specificity helps in better tracking of these conditions and their management in clinical practice.

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. This specificity helps in better tracking of these conditions and their management in clinical practice.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Academy of Sleep Medicine

Coding & Billing References

  • •
    American Academy of Sleep Medicine

Frequently Asked Questions

What are the common symptoms of sleep-related movement disorders?

Common symptoms include involuntary leg movements, difficulty falling asleep, frequent awakenings during the night, and excessive daytime sleepiness.

How is a sleep-related movement disorder diagnosed?

Diagnosis typically involves a detailed clinical history, patient-reported symptoms, and results from a polysomnography sleep study.