G47.59 ICD-10-CM Code: Other parasomnia
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 011 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC (MDC PRE)
- MS-DRG 012 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC (MDC PRE)
- MS-DRG 013 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC (MDC PRE)
- MS-DRG 154 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC (MDC 03)
- MS-DRG 155 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC (MDC 03)
- MS-DRG 156 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC (MDC 03)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for G47.59 in the official ICD-10-CM tabular list.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- alcohol induced parasomnia (F10.182, F10.282, F10.982) Compare G47.59 vs F10.182 →
- drug induced parasomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982) Compare G47.59 vs F11.182 →
- parasomnia not due to a substance or known physiological condition (F51.8) Compare G47.59 vs F51.8 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- nightmares (F51.5) Compare G47.59 vs F51.5 →
- nonorganic sleep disorders (F51.-) Compare G47.59 vs F51 →
- sleep terrors (F51.4) Compare G47.59 vs F51.4 →
- sleepwalking (F51.3) Compare G47.59 vs F51.3 →
Frequently Compared Codes
The official Excludes notes on G47.59 name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of G47.59 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- G00-G99 — Chapter 6: Diseases of the Nervous System (G00-G99) (G00-G99) [Hierarchy]
Referenced by Excludes2 notes
- F51 — Sleep disorders not due to a substance or known physiological condition [Excludes2](via G47.-): “organic sleep disorders (G47.-)” · check together
Clinical classification (CCSR)
- NVS016 — Sleep wake disorders [CCSR]
Potential MS-DRG
- DRG 011 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC [MS-DRG]: “TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC (MDC PRE)”
- DRG 012 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC [MS-DRG]: “TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC (MDC PRE)”
- DRG 013 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC [MS-DRG]: “TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC (MDC PRE)”
- DRG 154 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC [MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC (MDC 03)”
- DRG 155 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC [MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC (MDC 03)”
- DRG 156 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC [MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC (MDC 03)”
MDC crossing · procedures (5300)
- Pre-MDC[MDC crossing]: “Pre-MDC — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- MDC 03 — Diseases and Disorders of the Ear, Nose, Mouth and Throat [MDC crossing]: “Diseases and Disorders of the Ear, Nose, Mouth and Throat — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- 02HA0QZ — Insertion of Implantable Heart Assist System into Heart, Open Approach [Same-MDC procedure]: “Insertion of Implantable Heart Assist System into Heart, Open Approach — grouped in MDC PRE, the procedure side of this code's crossing.” · check together
- 02HA0RZ — Insertion of Short-term External Heart Assist System into Heart, Open Approach [Same-MDC procedure]: “Insertion of Short-term External Heart Assist System into Heart, Open Approach — grouped in MDC PRE, the procedure side of this code's crossing.” · check together
- 02HA3QZ — Insertion of Implantable Heart Assist System into Heart, Percutaneous Approach [Same-MDC procedure]: “Insertion of Implantable Heart Assist System into Heart, Percutaneous Approach — grouped in MDC PRE, the procedure side of this code's crossing.” · check together
- 02HA4QZ — Insertion of Implantable Heart Assist System into Heart, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Insertion of Implantable Heart Assist System into Heart, Percutaneous Endoscopic Approach — grouped in MDC PRE, the procedure side of this code's crossing.” · check together
- 02RA0LZ — Replacement of Heart with Biologic and Synthetic Substitute, Autoregulated Electrohydraulic, Open Approach [Same-MDC procedure]: “Replacement of Heart with Biologic and Synthetic Substitute, Autoregulated Electrohydraulic, Open Approach — grouped in MDC PRE, the procedure side of this code's crossing.” · check together
- and 5295 more
Index entries
- Parasomnia, specified NEC[Index term]
Nearest codes (40)
- G47 — Sleep disorders [Sibling]
- G47.2 — Circadian rhythm sleep disorders [Sibling]
- G47.20 — Circadian rhythm sleep disorder, unspecified type [Sibling]
- G47.21 — Circadian rhythm sleep disorder, delayed sleep phase type [Sibling]
- G47.22 — Circadian rhythm sleep disorder, advanced sleep phase type [Sibling]
- G47.23 — Circadian rhythm sleep disorder, irregular sleep wake type [Sibling]
- G47.24 — Circadian rhythm sleep disorder, free running type [Sibling]
- G47.25 — Circadian rhythm sleep disorder, jet lag type [Sibling]
- and 32 more
Referenced by Other Codes
Clinical classification (AHRQ CCSR):NVS016 — Sleep wake disorders (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 6 MS-DRGs: DRG 011 (MDC PRE), DRG 012 (MDC PRE), DRG 013 (MDC PRE), DRG 154 (MDC 03), DRG 155 (MDC 03), DRG 156 (MDC 03).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Official ICD-10-CM tabular notes on other codes that name G47.59 or its code family.
1 Excludes2 notes: F51 (via G47.-).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to G47.59 in its code family, with their registry titles.
- G47.50 — Parasomnia, unspecified
- G47.51 — Confusional arousals
- G47.52 — REM sleep behavior disorder
- G47.53 — Recurrent isolated sleep paralysis
- G47.54 — Parasomnia in conditions classified elsewhere
- G47.6 — Sleep related movement disorders
- G47.61 — Periodic limb movement disorder
- G47.62 — Sleep related leg cramps
- G47.63 — Sleep related bruxism
- G47.69 — Other sleep related movement disorders
Indexed Clinical Terms (1)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Parasomnia, specified NEC