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v1.0.0
ICD-10 Guide
ICD-10 CodesG47.61

G47.61

Billable

Periodic limb movement disorder

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

Code Description

ICD-10 G47.61 is a billable code used to indicate a diagnosis of periodic limb movement disorder.

Key Diagnostic Point:

Periodic limb movement disorder (PLMD) is characterized by involuntary, repetitive movements of the limbs, typically occurring during sleep. These movements often manifest as flexing and extending of the legs and can lead to disrupted sleep patterns, resulting in excessive daytime sleepiness and fatigue. PLMD is distinct from restless legs syndrome (RLS), although both conditions can coexist. The movements associated with PLMD usually occur every 20 to 40 seconds and can last for several minutes. Patients may be unaware of these movements, but they can be identified through polysomnography, a comprehensive sleep study that records brain waves, oxygen levels, heart rate, and breathing, as well as eye and leg movements. The disorder can affect individuals of all ages but is more prevalent in older adults. Treatment options may include lifestyle changes, medications, and addressing any underlying sleep disorders such as sleep apnea or narcolepsy. Accurate diagnosis and management are crucial for improving sleep quality and overall health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from similar sleep disorders like RLS
  • Need for polysomnography for accurate diagnosis
  • Potential co-morbid conditions (e.g., sleep apnea, narcolepsy)
  • Variability in symptoms and patient reporting

Audit Risk Factors

  • Inadequate documentation of sleep study results
  • Failure to document co-existing conditions
  • Misclassification of PLMD as RLS
  • Lack of clear treatment plans or follow-up

Specialty Focus

Medical Specialties

Sleep Medicine

Documentation Requirements

Comprehensive sleep study results, patient history, and treatment plans.

Common Clinical Scenarios

Patients presenting with excessive daytime sleepiness, insomnia, or other sleep disturbances.

Billing Considerations

Ensure clear documentation of limb movements and their impact on sleep quality.

Neurology

Documentation Requirements

Neurological assessments, patient history, and any relevant imaging or tests.

Common Clinical Scenarios

Patients with neurological conditions presenting with sleep disturbances.

Billing Considerations

Document any neurological assessments that may relate to PLMD.

Coding Guidelines

Inclusion Criteria

Use G47.61 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of symptoms, sleep study results, and any co
  • morbid conditions
  • Include specific details about the frequency and nature of limb movements

Exclusion Criteria

Do NOT use G47.61 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95810CPT Code

Polysomnography, sleep study

Clinical Scenario

Used to diagnose PLMD through monitoring of sleep patterns.

Documentation Requirements

Complete sleep study report, including limb movement data.

Specialty Considerations

Sleep specialists should ensure comprehensive documentation of findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sleep disorders, including PLMD, which aids in better tracking and management of these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sleep disorders, including PLMD, which aids in better tracking and management of these conditions.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Academy of Sleep Medicine

Coding & Billing References

  • •
    American Academy of Sleep Medicine

Frequently Asked Questions

What is the primary symptom of periodic limb movement disorder?

The primary symptom of PLMD is the involuntary movement of the limbs during sleep, which can lead to disrupted sleep and excessive daytime sleepiness.