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Home/Diagnosis/ICD-10 Coding for Excessive Sleepiness

ICD-10 Coding for Excessive Sleepiness

R40.0
G47.11
G47.33

Complete ICD-10-CM coding and documentation guide for icd-10 coding for excessive sleepiness includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Excessive Daytime Sleepiness
Hypersomnia
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Key Information: ICD-10 Coding for Excessive Sleepiness

Essential facts and insights about ICD-10 Coding for Excessive Sleepiness

Use ICD-10 code R40.0 for somnolence, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Somnolence

Billable Code
R40.0
Billable

Diagnostic Criteria

  • • Presence of excessive sleepiness without a specific diagnosis.

Applicable To

  • • Excessive daytime sleepiness

Important Notes

  • • R40.0 is often a temporary code until a specific sleep disorder is diagnosed.

Idiopathic hypersomnia with long sleep time

Billable Code
G47.11
Billable

Diagnostic Criteria

  • • MSLT ≤8 minutes
  • • Symptoms persisting for ≥3 months
  • • Exclusion of OSA and narcolepsy

Applicable To

  • • Idiopathic hypersomnia

Obstructive sleep apnea (adult) (pediatric)

Billable Code
G47.33
Billable

Diagnostic Criteria

  • • AHI ≥5
  • • Witnessed apneas
  • • BMI ≥30

Applicable To

  • • Obstructive sleep apnea syndrome

Sleep deprivation

Billable Code
Z72.820
Billable

Diagnostic Criteria

  • • Self-reported <6 hours of sleep per night

Applicable To

  • • Chronic sleep deprivation
Ancillary Codes

Additional codes that may be used with this diagnosis

Z72.821

Sleep hygiene

Use when poor sleep hygiene is a contributing factor.

E66.9

Obesity, unspecified

Use when obesity is a contributing factor.

Frequently Asked Questions

What is the ICD-10 code for excessive sleepiness?

The ICD-10 code for excessive sleepiness as a symptom is R40.0. For specific conditions like idiopathic hypersomnia, use G47.11, and for obstructive sleep apnea, use G47.33.

How is excessive sleepiness documented?

Excessive sleepiness should be documented with specific scales like the Epworth Sleepiness Scale and supported by sleep study results such as MSLT and PSG.

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