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Home/Diagnosis/ICD-10 Coding for CPAP Use

ICD-10 Coding for CPAP Use

G47.33
Z99.89

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

Also Known as:
Continuous Positive Airway Pressure
CPAP Therapy
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Key Information: ICD-10 Coding for CPAP Use

Essential facts and insights about ICD-10 Coding for CPAP Use

Use ICD-10 code G47.33 for obstructive sleep apnea (adult) (pediatric), ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Obstructive Sleep Apnea (adult) (pediatric)

Billable Code
G47.33
Billable

Diagnostic Criteria

  • • AHI ≥15 and documented CPAP dependence

Applicable To

  • • Obstructive sleep apnea with CPAP dependence

Important Notes

  • • Ensure CPAP dependence is explicitly documented to use Z99.89.

Dependence on other enabling machines and devices

Billable Code
Z99.89
Billable

Diagnostic Criteria

    Applicable To

    • • Dependence on CPAP

    Important Notes

    • • Do not use for routine CPAP use without documented dependence.
    Ancillary Codes

    Additional codes that may be used with this diagnosis

    Z99.89

    Dependence on other enabling machines and devices

    Use as a secondary code when CPAP dependence is documented.

    Frequently Asked Questions

    What is the ICD-10 code for CPAP use?

    The ICD-10 code for CPAP use when dependence is documented is Z99.89, used alongside G47.33 for obstructive sleep apnea.

    How to document CPAP adherence for Medicare?

    Document CPAP adherence as ≥4 hours/night on 70% of nights, with device data reviewed by a provider.

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