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Home/Diagnosis/ICD-10 Coding for Narcolepsy with Cataplexy

ICD-10 Coding for Narcolepsy with Cataplexy

G47.411
G47.421

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

Also Known as:
Narcolepsy Type 1
Narcolepsy with Muscle Weakness
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Key Information: ICD-10 Coding for Narcolepsy with Cataplexy

Essential facts and insights about ICD-10 Coding for Narcolepsy with Cataplexy

Use ICD-10 code G47.411 for narcolepsy with cataplexy, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Narcolepsy with cataplexy

Billable Code
G47.411
Billable

Diagnostic Criteria

clinical:
  • • Presence of cataplexy episodes triggered by emotions.
documentation:
  • • Detailed description of cataplexy episodes including frequency and duration.

Applicable To

  • • Idiopathic narcolepsy with cataplexy

Important Notes

  • • Ensure documentation includes specific triggers and muscle groups affected by cataplexy.

Narcolepsy in conditions classified elsewhere with cataplexy

Billable Code
G47.421
Billable

Diagnostic Criteria

clinical:
  • • Documentation of underlying condition causing narcolepsy
  • • Confirmation of cataplexy episodes

Applicable To

  • • Narcolepsy due to another medical condition with cataplexy

Important Notes

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

Additional codes that may be used with this diagnosis

R40.0

Somnolence

Use to document excessive daytime sleepiness associated with narcolepsy.

Frequently Asked Questions

What is the ICD-10 code for narcolepsy with cataplexy?

The ICD-10 code for narcolepsy with cataplexy is G47.411. It is used when narcolepsy is confirmed with cataplexy and no secondary causes are identified.

How to document narcolepsy with cataplexy?

Document narcolepsy with cataplexy by detailing the frequency, triggers, and muscle groups affected by cataplexy, along with objective test results.

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