G47.31

G47.31: Primary central sleep apnea

Billable / specific codeICD-10-CM

G47.31 is a billable, specific ICD-10-CM code for primary central sleep apnea. It is valid for submission on a claim.

Check G47.31 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Idiopathic central sleep apnea

Excludes1 inherited from the categories above G47.31

A category’s note binds every code beneath it.

Written on G47.3: Sleep apnea

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

Excludes2 inherited from the categories above G47.31

Not part of this code, but both may be coded when both are present.

Written on G47: Sleep disorders

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

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

G47.31 is named in 14 Medicare coverage policies: 14 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56612Billing and Coding: CT of the Head
A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
A56730Billing and Coding: Respiratory Therapy and Oximetry Services
A56781Billing and Coding: Transthoracic Echocardiography (TTE)

Alphabetic index entries that lead here

Apnea, apneic›sleep›central(primary)
Apnea, apneic›sleep›primary central
Apnea, apneic›sleep›central›idiopathic

Code history

Unchanged in every release from FY2024 to FY2027.