Acceptable Diagnosis Codes for Home Sleep Testing

1. ICD-10 Codes that Support Medical Necessity
Group 1 Paragraph: It is the responsibility of the provider to code to the highest level specified in the
ICD-10-CM. The correct use of an ICD-10-CM code listed below does not assure coverage of a service.
The service must be reasonable and necessary in the specific case and must meet the criteria specified
in this determination.
For sleep studies done due to sleep apnea: Use CPT codes 95800, 95801, 95806-95811, HCPCS
codes G0398, G0399, G0400 and applicable ICD-10-CM codes:
Group 1 Codes: Show entries for Group 1 ICD-10 Codes that Support Medical Necessity
Group 1Codes
ICD-10 CODE DESCRIPTION
G47.10 Hypersomnia, unspecified
G47.11 Idiopathic hypersomnia with long sleep time
G47.12 Idiopathic hypersomnia without long sleep time
G47.30 Sleep apnea, unspecified
G47.31 Primary central sleep apnea
G47.33 Obstructive sleep apnea (adult) (pediatric)
G47.34 Idiopathic sleep related nonobstructive alveolar hypoventilation
G47.35 Congenital central alveolar hypoventilation syndrome
G47.36 Sleep related hypoventilation in conditions classified elsewhere
G47.37 Central sleep apnea in conditions classified elsewhere
G47.39 Other sleep apnea
R06.3 Periodic breathing
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