2025 ICD-10-CM code G47.33
(Active) Effective Date: N/A Diseases of the Nervous System - Sleep Apnea 6 Feed
Obstructive sleep apnea (OSA) in adults and children.Breathing repeatedly stops and starts during sleep.
Medical necessity for treatment is established by the diagnosis of OSA and its severity, as determined by the AHI and the impact on the patient's quality of life and overall health.
Physicians diagnose OSA based on medical history, physical examination, and sleep studies (polysomnography). They manage the condition through lifestyle changes (weight loss, exercise, smoking cessation, sleep position), therapies (CPAP, BiPAP, oral appliances), and in severe cases, surgery.
In simple words: Obstructive sleep apnea (OSA) is a common sleep problem where your breathing repeatedly stops and starts while you're sleeping. This happens because your throat muscles relax too much, blocking your airway. It can make you feel very tired during the day and can also cause other health problems.
Obstructive sleep apnea (OSA) is a sleep disorder characterized by repetitive episodes of complete or partial obstruction of the upper airway during sleep. This leads to breathing pauses (apneas) or shallow breathing (hypopneas), resulting in reduced oxygen levels in the blood and disrupted sleep patterns.This condition can affect both adults and children (excluding newborns).
Example 1: A 45-year-old male presents with excessive daytime sleepiness, loud snoring, and witnessed apneas by his spouse. A sleep study confirms obstructive sleep apnea., A 10-year-old child experiences difficulty concentrating at school, is constantly tired, and exhibits restless sleep. A pediatric sleep specialist diagnoses obstructive sleep apnea., A patient with known OSA is admitted to the hospital for an unrelated condition. The OSA should be coded as a secondary diagnosis.
Documentation should include symptoms (snoring, daytime sleepiness, witnessed apneas), physical exam findings, and results of sleep studies (polysomnography), including apnea-hypopnea index (AHI).
** For OSA in newborns, use code P28.3.Always code the underlying cause of OSA if known.
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