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Home/Diagnosis/ICD-10 Coding for Hypersomnia

ICD-10 Coding for Hypersomnia

G47.11
G47.12
G47.14

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

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

Essential facts and insights about ICD-10 Coding for Hypersomnia

Use ICD-10 code G47.11 for idiopathic hypersomnia with long sleep time, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Idiopathic hypersomnia with long sleep time

Billable Code
G47.11
Billable

Diagnostic Criteria

  • • Documented sleep time >10 hours per 24 hours

Applicable To

  • • Idiopathic hypersomnia with sleep time >10 hours per 24 hours

Important Notes

  • • Ensure sleep time is documented over a sufficient period to support the diagnosis.

Idiopathic hypersomnia without long sleep time

Billable Code
G47.12
Billable

Diagnostic Criteria

  • • MSLT average latency ≤8 min
  • • Total sleep time <660 min/24h
  • • Presence of sleep inertia

Applicable To

  • • Idiopathic hypersomnia with sleep time <10 hours per 24 hours

Important Notes

  • • Ensure documentation of sleep inertia and total sleep time.

Hypersomnia due to medical condition

Billable Code
G47.14
Billable

Diagnostic Criteria

  • • Explicit link to underlying medical condition
  • • Underlying condition coded first

Applicable To

  • • Hypersomnia secondary to another medical condition

Important Notes

  • • Ensure the underlying condition is documented and coded.
Ancillary Codes

Additional codes that may be used with this diagnosis

R40.0

Somnolence

Use when MSLT >8 min but clinical EDS is present.

Frequently Asked Questions

What is the ICD-10 code for hypersomnia?

The ICD-10 code for hypersomnia is G47.1, with specific codes like G47.11 for idiopathic hypersomnia with long sleep time.

How do you code idiopathic hypersomnia?

Idiopathic hypersomnia is coded as G47.11 if there is long sleep time, or G47.12 if there is no long sleep time.

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