Is G47.3 a billable ICD-10-CM code?

No. G47.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does G47.3 sit in the tabular list?

Diseases of the nervous system (G00-G99), in the block Episodic and paroxysmal disorders (G40-G47).

What cannot be coded together with G47.3?

G47.3 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.

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.

apnea NOS (R06.81)
Cheyne-Stokes breathing (R06.3)
pickwickian syndrome (E66.2)
sleep apnea of newborn (P28.3-)

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

any associated underlying condition

Excludes2 inherited from the categories above G47.3

Also inherited, and the opposite of Excludes1: these conditions are not part of G47.3, but a patient can have both, so you may code both.

Written on G47 — Sleep disorders

nightmares (F51.5)
nonorganic sleep disorders (F51.-)
sleep terrors (F51.4)
sleepwalking (F51.3)

Other codes that can never be billed with G47.3

These codes carry an Excludes1 note pointing at G47.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading G47.3 alone.

Z03.83Encounter for observation for suspected conditions related to home physiologic monitoring device ruled out
R06.81Apnea, not elsewhere classified

Risk adjustment

G47.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code history

G47.3 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead G47.3

9 child codes. Green means billable.

Related codes at this level

Codes that share G47. If G47.3 is not quite right, the correct code is usually one of these.

Questions about G47.3

Is G47.3 a billable ICD-10-CM code?: No. G47.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does G47.3 sit in the tabular list?: Diseases of the nervous system (G00-G99), in the block Episodic and paroxysmal disorders (G40-G47).
What cannot be coded together with G47.3?: G47.3 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.