G47.33

G47.33: Obstructive sleep apnea (adult) (pediatric)

Billable / specific codeICD-10-CM

G47.33 is a billable, specific ICD-10-CM code for obstructive sleep apnea (adult) (pediatric). It is valid for submission on a claim.

Check G47.33 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

obstructive sleep apnea of newborn (P28.3-)

Inclusion terms

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

Obstructive sleep apnea hypopnea

Excludes1 inherited from the categories above G47.33

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 G47.33

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

G47.33 is named in 30 Medicare coverage policies: 30 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52467Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea - Policy Article
A52512Oral Appliances for Obstructive Sleep Apnea - Policy Article
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A54923Billing and Coding: Bariatric Surgery for Treatment of Co-Morbidities Conditions Related to Morbid Obesity