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Home/Diagnosis/ICD-10 Coding for Idiopathic Hypersomnia

ICD-10 Coding for Idiopathic Hypersomnia

G47.11
G47.12

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

Also Known as:
IH
Primary Hypersomnia
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Key Information: ICD-10 Coding for Idiopathic Hypersomnia

Essential facts and insights about ICD-10 Coding for Idiopathic 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

  • • Patient reports >10 hours of sleep with unrefreshing naps.

Applicable To

  • • Hypersomnia with excessive sleep duration

Important Notes

  • • Ensure documentation specifies sleep duration and test results.

Idiopathic hypersomnia without long sleep time

Billable Code
G47.12
Billable

Diagnostic Criteria

  • • Use when patient has normal sleep duration (6-10 hours) with excessive daytime sleepiness.

Applicable To

  • • Hypersomnia with normal sleep duration

Important Notes

  • • Ensure documentation includes ESS score and absence of SOREMPs.
Ancillary Codes

Additional codes that may be used with this diagnosis

R40.0

Sleep inertia

Use when prolonged morning confusion is present.

R41.8

Cognitive fog

Use when cognitive deficits impact daily activities.

Frequently Asked Questions

What is the ICD-10 code for idiopathic hypersomnia?

The ICD-10 codes for idiopathic hypersomnia are G47.11 for cases with long sleep time and G47.12 for cases without long sleep time.

How is idiopathic hypersomnia diagnosed?

Idiopathic hypersomnia is diagnosed using sleep studies like MSLT and PSG, documenting excessive daytime sleepiness and ruling out other causes.

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