Obstructive Sleep Apnea (OSA) ICD-10 CM Coding guide

Basic information about ICD-10 CM code for Obstructive Sleep Apnea (OSA)

ICD-Code G47.33 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Obstructive Sleep Apnea (Adult) (pediatric). Its corresponding ICD-9 code is 327.23.

An apneic spell refers to the interruption of breathing for 20 seconds or longer or a shorter pause accompanied by bradycardia (<100 beats per minute) cyanosis, and/or pallor. Apnea may be classified as central (cessation of breathing effort), obstructive (airflow obstruction usually at the pharyngeal level), or mixed. The condition can occur in any newborn, but apnea of prematurity is distinct from newborn sleep apnea. Apnea of prematurity is a developmental disorder caused by immaturity of neurologic and/or mechanical function of the respiratory system. While apnea of prematurity can be diagnosed based on clinical findings, sleep apnea is diagnosed based on polysomnography.

 

Description of Obstructive Sleep Apnea (OSA) ICD-10 CM codes

G47.3 Sleep apnea
Code also any associated underlying condition
Excludes 1
apnea NOS (R06.81)
Cheyne-Stokes breathing (R06.3)
pickwickian syndrome (E66.2)
sleep apnea of newborn (P28.3)

G47.30 Sleep apnea, unspecified
Sleep apnea NOS

G47.31 Primary central sleep apnea
Idiopathic central sleep apnea
G47.32 High altitude periodic breathing
G47.33 Obstructive sleep apnea (adult) (pediatric)
Obstructive sleep apnea hypopnea
Excludes 1
obstructive sleep apnea of newborn (P28.3)

G47.34 Idiopathic sleep related nonobstructive alveolar hypoventilation
Sleep related hypoxia
G47.35 Congenital central alveolar hypoventilation syndrome
G47.36 Sleep related hypoventilation in conditions classified elsewhere
Sleep related hypoxemia in conditions classified elsewhere
Code first underlying condition
G47.37 Central sleep apnea in conditions classified elsewhere
Code first underlying condition
G47.39 Other sleep apnea

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Other Synonyms of Obstructive Sleep Apnea (OSA) Include:

  • Obstructive sleep apnea
  • Obstructive sleep apnea of adult
  • Obstructive sleep apnea of child
  • Obstructive sleep apnea syndrome
  • Obstructive sleep apnea, adult
  • Obstructive sleep apnea, pediatric
  • Pediatric obstructive sleep apnea
  • Pediatric obstructive sleep apnea, mild
  • Pediatric obstructive sleep apnea, moderate
  • Pediatric obstructive sleep apnea, severe
  • Adult obstructive sleep apnea
  • Adult obstructive sleep apnea, mild
  • Adult obstructive sleep apnea, moderate
  • Adult obstructive sleep apnea, severe

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ICD10 codes for Newborn Apnea

ICD-10-CM provides specific codes to describe the different types of primary sleep apnea of newborn, as well as apnea (of prematurity) that occurs outside of sleep. When assigning codes describing the various types of newborn apnea, assign also codes for any congenital malformations of the respiratory system, if applicable. The codes for newborn sleep apnea and apnea of prematurity follow:

P28.30 Primary sleep apnea of newborn, unspecified

P28.31 Primary central sleep apnea of newborn

P28.32 Primary obstructive sleep apnea of newborn

P28.33 Primary mixed sleep apnea of newborn

P28.39 Other primary sleep apnea of newborn

P28.40 Unspecified apnea of newborn

P28.41 Central neonatal apnea of newborn

P28.42 Obstructive apnea of newborn

P28.43 Mixed neonatal apnea of newborn

P28.49 Other apnea of newborn

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Basic ICD-10 INFORMATION

World Health Organization (WHO) authorized the publication of the International Classification of DiseasesExternal 10th Revision (ICD-10), which was implemented for mortality coding and classification from death certificates in the U.S. in 1999. The U.S. developed a Clinical Modification (ICD-10-CM) for medical diagnoses based on WHO’s ICD-10.  This medical classification list is generated by the World Health Organization (WHO), and is used to help healthcare providers identify and code health conditions.

ICD-10 is required for use by physicians and healthcare providers under the Health Insurance Portability & Accountability Act (HIPAA) and will replace all ICD-9 code sets. There are nearly 5 times as many diagnosis codes in ICD-10-CM than in ICD-9-CM.ICD-10 has alphanumeric categories instead of numeric ones.

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