Understand hypersomnia diagnosis, symptoms, and treatment. Find information on hypersomnia ICD-10 code (G47.1), clinical documentation requirements, differential diagnosis, and comorbid conditions. Explore resources for healthcare professionals, including medical coding guidelines, sleep study interpretation, and best practices for managing excessive daytime sleepiness. Learn about hypersomnia causes, including idiopathic hypersomnia, narcolepsy, and other sleep disorders, and discover effective strategies for patient care and improved sleep health.
Also known as
Hypersomnolence NOS
Excessive sleepiness without a known cause.
Narcolepsy with cataplexy
Narcolepsy combined with sudden muscle weakness.
Narcolepsy without cataplexy
Narcolepsy characterized by excessive daytime sleepiness.
Nonorganic hypersomnia
Excessive sleepiness due to psychological factors.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is hypersomnia due to a medical condition?
Yes
Specific medical condition documented?
No
Is it due to a substance or medication?
When to use each related code
Description |
---|
Excessive daytime sleepiness |
Narcolepsy |
Idiopathic hypersomnia |
Coding G47.10 (Unspecified hypersomnia) without sufficient documentation specifying other causes can lead to denials and lost revenue.
Failing to code related conditions like sleep apnea or depression alongside hypersomnia can impact risk adjustment and reimbursement.
Lack of detailed clinical documentation supporting the diagnosis of hypersomnia exposes claims to audits and potential fraud investigations.
Patient presents with primary complaint of excessive daytime sleepiness (EDS), fulfilling the diagnostic criteria for hypersomnia. The patient reports persistent sleepiness despite obtaining adequate nocturnal sleep duration, often exceeding seven hours. Symptoms include difficulty awakening in the morning, prolonged sleep inertia, and daytime sleep attacks or unintended lapses into sleep. The patient denies any history of cataplexy, sleep paralysis, or hallucinations associated with sleep onset or offset. Symptoms significantly impact daily functioning, including occupational performance, social interactions, and overall quality of life. Objective findings include Epworth Sleepiness Scale (ESS) score of [insert score], indicating clinically significant daytime sleepiness. Differential diagnoses considered include obstructive sleep apnea, restless legs syndrome, circadian rhythm sleep-wake disorders, and other medical conditions potentially contributing to hypersomnia. Polysomnography and Multiple Sleep Latency Test (MSLT) ordered to objectively assess sleep architecture and confirm the diagnosis, ruling out other sleep disorders. Initial treatment plan includes behavioral modifications such as regular sleep-wake schedule, optimization of sleep hygiene, and strategic napping. Pharmacological interventions may be considered following diagnostic testing, with potential options including wake-promoting agents such as modafinil or armodafinil. Patient education provided regarding the nature of hypersomnia, potential treatment approaches, and importance of follow-up care. Follow-up scheduled to review test results and adjust treatment plan as needed. ICD-10 code G47.1 (hypersomnia, not due to a substance or known physiological condition) assigned.