tci Outpatient Facility Coding Alert - 2013 Issue 3

Reader Question: Lack of Details Leads to 780.57 for Sleep Apnea

Question: What is the best diagnosis code for complex sleep apnea? Texas Subscriber Answer: If the physician is unable to identify the cause of the apnea or if he is still trying to determine the cause, select 780.57 (Unspecified sleep apnea). All the 780.5x codes are “unspecified,” meaning that you should use them only when your physician doesn’t give a specific cause for the condition. All the 327.2x codes, except 327.20 (Organic sleep apnea, unspecified), are “specified” causes of organic sleep apnea. The physician would have to provide more information about...

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