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ICD-10 Guide
ICD-10 CodesG47.63

G47.63

Billable

Sleep related bruxism

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

Code Description

ICD-10 G47.63 is a billable code used to indicate a diagnosis of sleep related bruxism.

Key Diagnostic Point:

Sleep-related bruxism is a condition characterized by the involuntary grinding or clenching of teeth during sleep. This disorder can lead to various complications, including dental damage, jaw pain, and sleep disturbances. Bruxism is often associated with other sleep disorders, such as sleep apnea, where the airway becomes obstructed during sleep, leading to fragmented sleep and increased arousal. The pathophysiology of bruxism is not fully understood, but it is believed to involve a combination of psychological factors, such as stress and anxiety, and physiological factors, including sleep stage dynamics. Diagnosis typically involves a thorough clinical evaluation, including patient history and possibly a sleep study (polysomnography) to assess sleep patterns and rule out other sleep disorders. Treatment options may include behavioral therapies, dental appliances, and addressing underlying psychological issues. Accurate coding for sleep-related bruxism is essential for proper management and reimbursement, as it can significantly impact a patient's quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating bruxism from other sleep disorders like sleep apnea.
  • Need for comprehensive documentation of symptoms and history.
  • Potential overlap with dental conditions requiring careful coding.
  • Variability in treatment approaches and their documentation.

Audit Risk Factors

  • Inadequate documentation of sleep study results.
  • Failure to document associated symptoms like jaw pain or headaches.
  • Misclassification of bruxism as a primary dental condition.
  • Lack of evidence for treatment modalities used.

Specialty Focus

Medical Specialties

Sleep Medicine

Documentation Requirements

Detailed sleep study results, patient history, and symptomatology.

Common Clinical Scenarios

Patients presenting with sleep disturbances, fatigue, and dental issues.

Billing Considerations

Ensure comprehensive documentation of sleep patterns and any co-existing sleep disorders.

Dentistry

Documentation Requirements

Dental evaluations, treatment plans, and patient-reported symptoms.

Common Clinical Scenarios

Patients with dental wear patterns, jaw pain, or headaches.

Billing Considerations

Document the relationship between dental findings and sleep-related symptoms.

Coding Guidelines

Inclusion Criteria

Use G47.63 When
  • According to ICD
  • 10 guidelines, G47
  • 63 should be used when bruxism is specifically related to sleep
  • It is important to document the relationship between bruxism and any underlying sleep disorders

Exclusion Criteria

Do NOT use G47.63 When
  • Exclusion criteria include bruxism not related to sleep or caused by medications

Related ICD-10 Codes

Related CPT Codes

95810CPT Code

Polysomnography, sleep study

Clinical Scenario

Used to diagnose sleep-related bruxism.

Documentation Requirements

Complete sleep study report and interpretation.

Specialty Considerations

Sleep medicine specialists should ensure thorough 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-related disorders, including bruxism. This specificity aids in better tracking of the condition and its treatment outcomes, improving patient care and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sleep-related disorders, including bruxism. This specificity aids in better tracking of the condition and its treatment outcomes, improving patient care and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Academy of Sleep Medicine

Coding & Billing References

  • •
    American Academy of Sleep Medicine

Frequently Asked Questions

What is the primary cause of sleep-related bruxism?

The primary causes of sleep-related bruxism are not fully understood, but it is often associated with stress, anxiety, and other sleep disorders such as sleep apnea.