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v1.0.0
ICD-10 Guide
ICD-10 CodesG47.8

G47.8

Billable

Other sleep disorders

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

Code Description

ICD-10 G47.8 is a billable code used to indicate a diagnosis of other sleep disorders.

Key Diagnostic Point:

G47.8 encompasses a variety of sleep disorders that do not fall under more specific categories such as sleep apnea or narcolepsy. These disorders can include conditions like restless legs syndrome, circadian rhythm sleep-wake disorders, and other unspecified sleep disturbances. Patients may experience symptoms such as excessive daytime sleepiness, insomnia, or abnormal sleep patterns that significantly impact their daily functioning. Diagnosis typically involves a comprehensive evaluation, including patient history, sleep studies, and possibly polysomnography to assess sleep architecture and identify any underlying issues. Treatment may vary widely depending on the specific disorder and can include lifestyle modifications, pharmacotherapy, or cognitive behavioral therapy for insomnia. Accurate coding is essential for proper reimbursement and to ensure that patients receive appropriate care tailored to their specific sleep disorder.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under this code
  • Need for detailed patient history and sleep study results
  • Potential overlap with other sleep disorder codes
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify the type of sleep disorder
  • Misinterpretation of sleep study results
  • Coding based on insufficient clinical information

Specialty Focus

Medical Specialties

Sleep Medicine

Documentation Requirements

Detailed sleep history, results of polysomnography, and treatment plans.

Common Clinical Scenarios

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

Billing Considerations

Ensure comprehensive documentation of all sleep-related symptoms and treatments to support the diagnosis.

Neurology

Documentation Requirements

Neurological assessments, history of neurological disorders, and sleep study interpretations.

Common Clinical Scenarios

Patients with neurological conditions that may affect sleep, such as Parkinson's disease or epilepsy.

Billing Considerations

Document any neurological assessments that may contribute to sleep disorders.

Coding Guidelines

Inclusion Criteria

Use G47.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • 8 should be used when the specific sleep disorder is not classified elsewhere
  • Ensure to document any relevant sleep study results and patient history

Exclusion Criteria

Do NOT use G47.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95810CPT Code

Polysomnography, sleep study

Clinical Scenario

Used for diagnosing sleep disorders when symptoms are present.

Documentation Requirements

Document the indication for the sleep study and results.

Specialty Considerations

Sleep specialists should ensure comprehensive reporting 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, improving the granularity of data collection and enhancing the ability to track treatment outcomes. G47.8 provides a necessary code for conditions that do not fit neatly into other categories.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sleep disorders, improving the granularity of data collection and enhancing the ability to track treatment outcomes. G47.8 provides a necessary code for conditions that do not fit neatly into other categories.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sleep disorders, improving the granularity of data collection and enhancing the ability to track treatment outcomes. G47.8 provides a necessary code for conditions that do not fit neatly into other categories.

Resources

Clinical References

  • •
    American Academy of Sleep Medicine

Coding & Billing References

  • •
    American Academy of Sleep Medicine

Frequently Asked Questions

What types of conditions are included under G47.8?

G47.8 includes various sleep disorders such as restless legs syndrome, circadian rhythm sleep-wake disorders, and other unspecified sleep disturbances that do not fall under more specific categories.