Icd code 9 - 10 for Sleep apnea and Snoring

Complete Guide to ICD-9 and ICD-10 Codes for Diagnosing Sleep Apnea and Snoring

Sleep disorders encompass a wide range of conditions that negatively impact your ability to fall asleep, stay asleep, or experience restorative sleep. These issues can result in daytime fatigue, irritability, and even long-term health complications. To ensure proper diagnosis and treatment, doctors often use diagnostic tools like ICD-9 codes, which serve both as a clinical tool and a reference for insurance billing purposes.

What is Sleep Apnea?

Definition and Causes

Sleep apnea is a disorder where breathing repeatedly stops and starts during sleep. This disruption can result in poor sleep quality and leave you feeling tired even after a full night’s sleep. The two main types of sleep apnea are obstructive sleep apnea (OSA) and central sleep apnea (CSA).

Obstructive vs. Central Sleep Apnea

• Obstructive Sleep Apnea (OSA): The most common form of sleep apnea, caused by the airway collapsing or becoming blocked during sleep.
• Central Sleep Apnea (CSA): Occurs when the brain doesn’t send the proper signals to the muscles that control breathing.

The Importance of ICD-9 Codes

What are ICD-9 Codes?

The International Classification of Diseases, Ninth Revision (ICD-9) is a standardized system for coding various medical diagnoses and procedures. It allows healthcare providers to efficiently record, track, and bill medical services.

Transition to ICD-10 Codes

While the ICD-9 system has been largely replaced by ICD-10, many healthcare systems and insurance providers still recognize and use ICD-9 codes, especially for older records. The codes are instrumental in understanding the range of sleep disorders and billing for treatments.

Common Types of Sleep Disorders

• Insomnia: Characterized by difficulty falling asleep, staying asleep, or both. It can be acute (lasting a few days to weeks) or chronic (lasting more than three months).
• Sleep Apnea: Involves repeated interruptions in breathing during sleep, which can be due to obstructed airways (OSA) or lack of respiratory effort from the brain (CSA).
• Circadian Rhythm Disorders: Occur when your body’s internal clock is out of sync with your environment, often affecting those who work night shifts or experience frequent travel across time zones.
• Parasomnias: Abnormal behaviors that occur during sleep, such as sleepwalking or night terrors.
• Hypersomnias: Excessive daytime sleepiness not caused by lack of sleep, with narcolepsy being one of the most common forms.

ICD-9 Codes for Insomnia

Description	ICD-9 Code	ICD-10 Code
Acute Insomnia (Adjustment Sleep Disorder)	307.41	F51.02
Psychophysiologic Insomnia	307.42	F51.04
Idiopathic Insomnia	307.42	F51.01
Inadequate Sleep Hygiene	V69.4	Z72.821
Behavioral Insomnia of Childhood	307.42	—

ICD-9 Codes for Sleep Apnea

Description	ICD-9 Code	ICD-10 Code
Obstructive Sleep Apnea	327.23	G47.33
Central Sleep Apnea	327.21	G47.31
Central Sleep Apnea due to Cheyne-Stokes Breathing	768.04	R06.3

ICD-9 Codes for Snoring

While snoring can be harmless, it is often a sign of sleep apnea or other sleep disorders. The ICD-9 code for snoring is 786.09.

Sleep-Related Breathing Disorders

Description	ICD-9 Code	ICD-10 Code
Sleep-related nonobstructive alveolar hypoventilation	327.24	G47.34
Congenital central alveolar hypoventilation syndrome	327.25	G47.35

Parasomnias and Their ICD-9 Codes

Description	ICD-9 Code	ICD-10 Code
Sleepwalking	307.46	F51.3
Sleep Terrors	307.46	F51.4

Hypersomnias of Central Origin

Description	ICD-9 Code	ICD-10 Code
Narcolepsy with cataplexy	347.01	G47.411
Narcolepsy without cataplexy	347.00	G47.419
Recurrent hypersomnia	780.54	G47.13

Circadian Rhythm Sleep Disorders

Description	ICD-9 Code	ICD-10 Code
Circadian rhythm sleep disorder, delayed sleep phase type	327.31	G47.21
Circadian rhythm sleep disorder, advanced sleep phase type	327.32	G47.22
Circadian rhythm sleep disorder, irregular sleep-wake type	327.33	G47.23
Circadian rhythm sleep disorder, free-running (nonentrained) type	327.34	G47.24
Circadian rhythm sleep disorder, jet lag type	327.35	G47.25
Circadian rhythm sleep disorder, shift-work type	327.36	G47.26
Circadian rhythm sleep disorders due to a medical disorder	327.39	G47.27
Other circadian rhythm sleep disorder	327.39	G47.29
Other circadian rhythm sleep disorder due to drug or substance	292.85	G47.27

Other Sleep-Related Breathing Disorders

For conditions that do not fit into a specific category, the ICD-9 code for unspecified sleep apnea or sleep-related breathing disorder is 320.20.

Hypersomnias of Central Origin

Hypersomnia refers to excessive daytime sleepiness, often caused by a lack of nighttime sleep or specific medical conditions such as narcolepsy. The following are hypersomnias traced to central origins, along with their codes:

Description	ICD-9 Code	ICD-10 Code
Narcolepsy with cataplexy	347.01	G47.411
Narcolepsy without cataplexy	347.00	G47.419
Narcolepsy due to a medical condition	347.10	G47.421
Narcolepsy, unspecified	347.00	G47.43
Recurrent hypersomnia	780.54	G47.13
Kleine-Levin Syndrome	327.13	G47.13
Menstrual-related hypersomnia	327.13	G47.13
Idiopathic hypersomnia with long sleep time	327.11	G47.11
Idiopathic hypersomnia without long sleep time	327.12	G47.11
Behaviorally induced insufficient sleep syndrome	307.44	F51.12
Hypersomnia due to medical condition	327.14	G47.14
Hypersomnia due to drug or substance	292.85	G47.14
Hypersomnia not due to a substance or known physiological condition	327.15	F51.1
Physiological (organic) hypersomnia, unspecified	327.10	G47.10

Other Conditions That Impact Sleep

Beyond the major classes of sleep disorders described above, various other conditions can impact sleep. These may not always represent pathological conditions but can still disrupt rest. Some conditions are associated with specific medications or psychiatric disorders.

Isolated Symptoms, Apparently Normal Variants, and Unresolved Issues

Description	ICD-9 Code	ICD-10 Code
Long sleeper	307.49	R29.81
Short sleeper	307.49	R29.81
Snoring	786.09	R06.83
Sleep talking	307.49	R29.81
Sleep starts, hypnic jerks	307.47	R25.8
Benign sleep myoclonus of infancy	781.01	R25.8
Hypnagogic foot tremor and alternating leg muscle activation during sleep	781.01	R25.8
Propriospinal myoclonus at sleep onset	781.01	R25.8
Excessive fragmentary myoclonus	781.01	R25.8

Other Sleep Disorders

These sleep disorders are categorized as "other" because they don't neatly fit into specific classifications. The following are examples:

Description	ICD-9 Code	ICD-10 Code
Other physiological (organic) sleep disorder	327.8	G47.8
Other sleep disorder not due to a known substance or physiological condition	327.8	G47.9
Environmental sleep disorder	307.48	F51.8

Sleep Disorders Associated with Conditions Classifiable Elsewhere

M79.7

Description	ICD-9 Code	ICD-10 Code
Fatal familial insomnia	046.8	A81.8
Fibromyalgia	729.1
Sleep-related epilepsy	345	G40.5
Sleep-related headaches	784.0	R51
Sleep-related gastroesophageal reflux disease	530.1	K21.9
Sleep-related coronary artery ischemia	411.8	I25.6
Sleep-related abnormal swallowing, choking, or laryngospasm	787.2	R13.1