Sleep disorders (G47)

    • ICD-10 Index

      • Diseases of the nervous system (G00–G99)

        • Episodic and paroxysmal disorders (G40-G47)

            • Sleep disorders (G47)
            • G47 - Sleep disorders NON-BILLABLE CODE
            • G47.0 - Insomnia NON-BILLABLE CODE
            • G47.00 - Insomnia, unspecified BILLABLE CODE
            • G47.01 - Insomnia due to medical condition BILLABLE CODE
            • G47.09 - Other insomnia BILLABLE CODE
            • G47.1 - Hypersomnia NON-BILLABLE CODE
            • G47.10 - Hypersomnia, unspecified BILLABLE CODE
            • G47.11 - Idiopathic hypersomnia with long sleep time BILLABLE CODE
            • G47.12 - Idiopathic hypersomnia without long sleep time BILLABLE CODE
            • G47.13 - Recurrent hypersomnia BILLABLE CODE
            • G47.14 - Hypersomnia due to medical condition BILLABLE CODE
            • G47.19 - Other hypersomnia BILLABLE CODE
            • G47.2 - Circadian rhythm sleep disorders NON-BILLABLE CODE
            • G47.20 - Circadian rhythm sleep disorder, unspecified type BILLABLE CODE
            • G47.21 - Circadian rhythm sleep disorder, delayed sleep phase type BILLABLE CODE
            • G47.22 - Circadian rhythm sleep disorder, advanced sleep phase type BILLABLE CODE
            • G47.23 - Circadian rhythm sleep disorder, irregular sleep wake type BILLABLE CODE
            • G47.24 - Circadian rhythm sleep disorder, free running type BILLABLE CODE
            • G47.25 - Circadian rhythm sleep disorder, jet lag type BILLABLE CODE
            • G47.26 - Circadian rhythm sleep disorder, shift work type BILLABLE CODE
            • G47.27 - Circadian rhythm sleep disorder in conditions classd elswhr BILLABLE CODE
            • G47.29 - Other circadian rhythm sleep disorder BILLABLE CODE
            • G47.3 - Sleep apnea NON-BILLABLE CODE
            • G47.30 - Sleep apnea, unspecified BILLABLE CODE
            • G47.31 - Primary central sleep apnea BILLABLE CODE
            • G47.32 - High altitude periodic breathing BILLABLE CODE
            • G47.33 - Obstructive sleep apnea (adult) (pediatric) BILLABLE CODE
            • G47.34 - Idio sleep related nonobstructive alveolar hypoventilation BILLABLE CODE
            • G47.35 - Congenital central alveolar hypoventilation syndrome BILLABLE CODE
            • G47.36 - Sleep related hypoventilation in conditions classd elswhr BILLABLE CODE
            • G47.37 - Central sleep apnea in conditions classified elsewhere BILLABLE CODE
            • G47.39 - Other sleep apnea BILLABLE CODE
            • G47.4 - Narcolepsy and cataplexy NON-BILLABLE CODE
            • G47.41 - Narcolepsy NON-BILLABLE CODE
            • G47.411 - Narcolepsy with cataplexy BILLABLE CODE
            • G47.419 - Narcolepsy without cataplexy BILLABLE CODE
            • G47.42 - Narcolepsy in conditions classified elsewhere NON-BILLABLE CODE
            • G47.421 - Narcolepsy in conditions classified elsewhere with cataplexy BILLABLE CODE
            • G47.429 - Narcolepsy in conditions classified elsewhere w/o cataplexy BILLABLE CODE
            • G47.5 - Parasomnia NON-BILLABLE CODE
            • G47.50 - Parasomnia, unspecified BILLABLE CODE
            • G47.51 - Confusional arousals BILLABLE CODE
            • G47.52 - REM sleep behavior disorder BILLABLE CODE
            • G47.53 - Recurrent isolated sleep paralysis BILLABLE CODE
            • G47.54 - Parasomnia in conditions classified elsewhere BILLABLE CODE
            • G47.59 - Other parasomnia BILLABLE CODE
            • G47.6 - Sleep related movement disorders NON-BILLABLE CODE
            • G47.61 - Periodic limb movement disorder BILLABLE CODE
            • G47.62 - Sleep related leg cramps BILLABLE CODE
            • G47.63 - Sleep related bruxism BILLABLE CODE
            • G47.69 - Other sleep related movement disorders BILLABLE CODE
            • G47.8 - Other sleep disorders BILLABLE CODE
            • G47.9 - Sleep disorder, unspecified BILLABLE CODE

Clinical Information for Sleep disorders (G47)

Narcolepsy - A condition characterized by recurrent episodes of daytime somnolence and lapses in consciousness (microsomnias) that may be associated with automatic behaviors and AMNESIA. CATAPLEXY; SLEEP PARALYSIS, and hypnagogic HALLUCINATIONS frequently accompany narcolepsy. The pathophysiology of this disorder includes sleep-onset rapid eye movement (REM) sleep, which normally follows stage III or IV sleep. (From Neurology 1998 Feb;50(2 Suppl 1):S2-S7)

REM Sleep Behavior Disorder - A disorder characterized by episodes of vigorous and often violent motor activity during REM sleep (SLEEP, REM). The affected individual may inflict self injury or harm others, and is difficult to awaken from this condition. Episodes are usually followed by a vivid recollection of a dream that is consistent with the aggressive behavior. This condition primarily affects adult males. (From Adams et al., Principles of Neurology, 6th ed, p393)

Sleep Paralysis - A common condition characterized by transient partial or total paralysis of skeletal muscles and areflexia that occurs upon awakening from sleep or less often while falling asleep. Stimuli such as touch or sound may terminate the episode, which usually has a duration of seconds to minutes. This condition may occur in normal subjects or be associated with NARCOLEPSY; CATAPLEXY; and hypnagogic HALLUCINATIONS. The pathophysiology of this condition is closely related to the normal hypotonia that occur during REM sleep. (From Adv Neurol 1995;67:245-271)

Sleep Wake Disorders - Abnormal sleep-wake schedule or pattern associated with the CIRCADIAN RHYTHM which affect the length, timing, and/or rigidity of the sleep-wake cycle relative to the day-night cycle.

Tachypnea - Increased RESPIRATORY RATE.

Hypercapnia - A clinical manifestation of abnormal increase in the amount of carbon dioxide in arterial blood.

Cataplexy - A condition characterized by transient weakness or paralysis of somatic musculature triggered by an emotional stimulus or physical exertion. Cataplexy is frequently associated with NARCOLEPSY. During a cataplectic attack, there is a marked reduction in muscle tone similar to the normal physiologic hypotonia that accompanies rapid eye movement sleep (SLEEP, REM). (From Adams et al., Principles of Neurology, 6th ed, p396)

Narcolepsy - A condition characterized by recurrent episodes of daytime somnolence and lapses in consciousness (microsomnias) that may be associated with automatic behaviors and AMNESIA. CATAPLEXY; SLEEP PARALYSIS, and hypnagogic HALLUCINATIONS frequently accompany narcolepsy. The pathophysiology of this disorder includes sleep-onset rapid eye movement (REM) sleep, which normally follows stage III or IV sleep. (From Neurology 1998 Feb;50(2 Suppl 1):S2-S7)

Sleep Paralysis - A common condition characterized by transient partial or total paralysis of skeletal muscles and areflexia that occurs upon awakening from sleep or less often while falling asleep. Stimuli such as touch or sound may terminate the episode, which usually has a duration of seconds to minutes. This condition may occur in normal subjects or be associated with NARCOLEPSY; CATAPLEXY; and hypnagogic HALLUCINATIONS. The pathophysiology of this condition is closely related to the normal hypotonia that occur during REM sleep. (From Adv Neurol 1995;67:245-271)

Narcolepsy - A condition characterized by recurrent episodes of daytime somnolence and lapses in consciousness (microsomnias) that may be associated with automatic behaviors and AMNESIA. CATAPLEXY; SLEEP PARALYSIS, and hypnagogic HALLUCINATIONS frequently accompany narcolepsy. The pathophysiology of this disorder includes sleep-onset rapid eye movement (REM) sleep, which normally follows stage III or IV sleep. (From Neurology 1998 Feb;50(2 Suppl 1):S2-S7)

Idiopathic Hypersomnia - A sleep disorder of central nervous system origin characterized by prolonged nocturnal sleep and periods of daytime drowsiness. Affected individuals experience difficulty with awakening in the morning and may have associated sleep drunkenness, automatic behaviors, and memory disturbances. This condition differs from narcolepsy in that daytime sleep periods are longer, there is no association with CATAPLEXY, and the multiple sleep latency onset test does not record sleep-onset rapid eye movement sleep. (From Chokroverty, Sleep Disorders Medicine, 1994, pp319-20; Psychiatry Clin Neurosci 1998 Apr:52(2):125-129)

Narcolepsy - A condition characterized by recurrent episodes of daytime somnolence and lapses in consciousness (microsomnias) that may be associated with automatic behaviors and AMNESIA. CATAPLEXY; SLEEP PARALYSIS, and hypnagogic HALLUCINATIONS frequently accompany narcolepsy. The pathophysiology of this disorder includes sleep-onset rapid eye movement (REM) sleep, which normally follows stage III or IV sleep. (From Neurology 1998 Feb;50(2 Suppl 1):S2-S7)

Bruxism - A disorder characterized by grinding and clenching of the teeth.

Sleep Paralysis - A common condition characterized by transient partial or total paralysis of skeletal muscles and areflexia that occurs upon awakening from sleep or less often while falling asleep. Stimuli such as touch or sound may terminate the episode, which usually has a duration of seconds to minutes. This condition may occur in normal subjects or be associated with NARCOLEPSY; CATAPLEXY; and hypnagogic HALLUCINATIONS. The pathophysiology of this condition is closely related to the normal hypotonia that occur during REM sleep. (From Adv Neurol 1995;67:245-271)

Idiopathic Hypersomnia - A sleep disorder of central nervous system origin characterized by prolonged nocturnal sleep and periods of daytime drowsiness. Affected individuals experience difficulty with awakening in the morning and may have associated sleep drunkenness, automatic behaviors, and memory disturbances. This condition differs from narcolepsy in that daytime sleep periods are longer, there is no association with CATAPLEXY, and the multiple sleep latency onset test does not record sleep-onset rapid eye movement sleep. (From Chokroverty, Sleep Disorders Medicine, 1994, pp319-20; Psychiatry Clin Neurosci 1998 Apr:52(2):125-129)

Cataplexy - A condition characterized by transient weakness or paralysis of somatic musculature triggered by an emotional stimulus or physical exertion. Cataplexy is frequently associated with NARCOLEPSY. During a cataplectic attack, there is a marked reduction in muscle tone similar to the normal physiologic hypotonia that accompanies rapid eye movement sleep (SLEEP, REM). (From Adams et al., Principles of Neurology, 6th ed, p396)

Cataplexy - A condition characterized by transient weakness or paralysis of somatic musculature triggered by an emotional stimulus or physical exertion. Cataplexy is frequently associated with NARCOLEPSY. During a cataplectic attack, there is a marked reduction in muscle tone similar to the normal physiologic hypotonia that accompanies rapid eye movement sleep (SLEEP, REM). (From Adams et al., Principles of Neurology, 6th ed, p396)

Circadian Rhythm - The regular recurrence, in cycles of about 24 hours, of biological processes or activities, such as sensitivity to drugs or environmental and physiological stimuli.

Respiratory Rate - The number of times an organism breathes with the lungs (RESPIRATION) per unit time, usually per minute.

Instructional Notations

Type 2 Excludes Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.