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2025 ICD-10-CM code G47.4

Narcolepsy with cataplexy.

The code G47.4 should be used when both narcolepsy and cataplexy are present. If only narcolepsy is documented, without cataplexy, the appropriate code is G47.40. It is essential to distinguish narcolepsy with cataplexy from other sleep disorders and hypersomnia conditions.

Medical necessity for treatment of narcolepsy with cataplexy is established by the significant impact of the symptoms on daily life, including impaired work performance, social interactions, and increased risk of accidents. Treatment aims to improve alertness, reduce cataplexy episodes, and enhance overall quality of life.

The diagnosis and management of narcolepsy with cataplexy typically involves sleep specialists or neurologists. They conduct sleep studies, assess symptoms, prescribe medications, and recommend lifestyle changes to manage the condition.

In simple words: Narcolepsy with cataplexy is a condition that makes you very sleepy during the day. You might suddenly fall asleep, even while doing something like talking or eating. Cataplexy is a sudden loss of muscle control, often triggered by strong emotions like laughing or being surprised. This can make you go limp or weak.

Narcolepsy with cataplexy is a chronic neurological sleep disorder characterized by excessive daytime sleepiness, often with sudden, brief episodes of muscle weakness (cataplexy) triggered by strong emotions such as laughter, anger, or excitement. It is caused by a deficiency of hypocretin, a neurotransmitter that regulates wakefulness.

Example 1: A 25-year-old patient presents with excessive daytime sleepiness, falling asleep multiple times during the day even while at work. They also report episodes of sudden muscle weakness when they laugh, causing them to collapse. A sleep study confirms narcolepsy with cataplexy., A teenager experiences sudden episodes of muscle weakness in their face and limbs, often triggered by surprise or excitement. They also complain of excessive daytime sleepiness and difficulty concentrating in school. After consultation with a sleep specialist, they are diagnosed with narcolepsy with cataplexy., A 40-year-old individual experiences overwhelming sleepiness during the day, along with hallucinations and sleep paralysis. Further investigation reveals episodes of cataplexy triggered by strong emotions. This combination of symptoms leads to a diagnosis of narcolepsy with cataplexy.

Documentation for narcolepsy with cataplexy should include a detailed medical history, including sleep patterns, frequency and nature of sleep attacks, and any cataplexy episodes. Results of sleep studies (polysomnogram and multiple sleep latency test) and documentation of hypocretin levels are crucial for confirming the diagnosis.

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