G47.3
G47.3: Sleep apnea
Non-billable headerICD-10-CM
G47.3 is a non-billable header ICD-10-CM code for sleep apnea. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- any associated underlying condition
Other codes that can never be billed with G47.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead G47.3
9 child codes. Green means billable.
- G47.30Sleep apnea, unspecified
- G47.31Primary central sleep apnea
- G47.32High altitude periodic breathing
- G47.33Obstructive sleep apnea (adult) (pediatric)
- G47.34Idiopathic sleep related nonobstructive alveolar hypoventilation
- G47.35Congenital central alveolar hypoventilation syndrome
- G47.36Sleep related hypoventilation in conditions classified elsewhere
- G47.37Central sleep apnea in conditions classified elsewhere
- G47.39Other sleep apnea