Attachment A

ICSD 2

Proposed Sleep Disorders Categories and Individual Sleep Disorders

(As of September 29, 2003)

Proposed ICD-9-CM numbers listed first, proposed ICD-10-CM numbers listed second

Insomnia

30742F5101Psychophysiological Insomnia

30742F5102Paradoxical Insomnia

30741F5103Adjustment Sleep Disorder (Acute Insomnia)

30741F5104Inadequate Sleep Hygiene

78052G4701Idiopathic Insomnia

30742F5105Behavioral Insomnia of Childhood

Limit-setting Sleep Disorder

Sleep-onset Association Disorder

78052G4709Other Insomnia due to a known physiological condition

Fatal Familial Insomnia

30742F5109Other Insomnia not due to a substance or known physiological condition

29189F10-19Other Insomnia due to a substance

& 29829

9952T36-50Other Insomnia due to adverse effect of drugs, medicaments and biological
substances
Sleep Related Breathing Disorder

Central Sleep Apnea Syndromes:

78051G4731Central Sleep Apnea

78057G4739Other Sleep Related Breathing Disorder due to a known physiological condition

Cheyne Stokes Breathing Pattern

High Altitude Periodic Breathing

9952T36-50Other Sleep Related Breathing Disorder due to adverse effect of drugs,
medicaments and biological substances

78053G4732Obstructive Sleep Apnea

Obstructive Sleep Apnea, Adult

Obstructive Sleep Apnea, Pediatric

Hypoventilation/Hypoxemic Syndromes:

78057G4734Sleep Related Non-obstructive Alveolar Hypoventilation, Idiopathic

78057G4735Congenital Central Alveolar Hypoventilation Syndrome

78057G4739Other Sleep Related Breathing Disorder due to a known physiological condition

Sleep-Related Non-obstructive Alveolar Hypoventilation

Sleep-Related Hypoxemia

Other Sleep-Related Breathing Syndromes

77081P283Primary Sleep Apnea of Newborn

Hypersomnia not due to a sleep related breathing disorder

3471G4741Narcolepsy with Cataplexy

3472G4742Narcolepsy Without Cataplexy

3477G4749Other Narcolepsy due to a known physiological condition

78054G4711Recurrent Hypersomnia

78054G4712Idiopathic Hypersomnia with long sleep time

78054G4713Idiopathic Hypersomnia without long sleep time

30744F5111Insufficient Sleep Syndrome

78054G4719Other Hypersomnia due to a known physiological condition

30744F5119Other Hypersomnia not due to a substance or known physiological condition

29189F10-19Other Hypersomnia due to a substance

& 29829

9952T36-50Other Hypersomnia due to adverse effect of drugs, medicaments and biological
substances
Circadian Rhythm Sleep Disorder

30745F5121not due a substance or known physiological condition, jet lag type

30745F5122not due a substance or known physiological condition, shift-work type

78055G4721delayed sleep phase type

30745F5123not due a substance or known physiological condition, delayed sleep phase type

78055G4722advanced sleep phase type

30745F5124not due a substance or known physiological condition, advanced sleep phase type

78055G4723irregular sleep-wake type

78055G4724free-running type

78055G4729Other Circadian Rhythm Sleep disorder due to a known physiological condition

30745F5129Other Circadian Rhythm Sleep disorder not due a substance or known

physiological condition

29189F10-19Other Circadian Rhythm Sleep disorder due to a substance

& 29829

9952T36-50Other Circadian Rhythm Sleep disorder due to adverse effect of drugs,
medicaments and biological substances
Parasomnia

Disorders of Arousal (From Non-REM Sleep)

78056G4751Confusional Arousals

30746F513Sleepwalking

30746F514Sleep Terrors

Parasomnias Usually Associated with REM Sleep

78056G4752REM Sleep Behavior Disorder, Including

78056G4753Recurrent Isolated Sleep Paralysis

30747F515Nightmare Disorder

Other Parasomnias

30015F449Nocturnal Dissociative Disorder

78836N3944Nocturnal Enuresis

78056G4759Other Parasomnia due to a known physiological condition

Catathrenia (Nocturnal Groaning)

Exploding Head Syndrome

Sleep-related Eating Disorder

30746F5139Other Parasomnia not due to a substance or known physiological condition

29189F10-19Other Parasomnia due to a substance

& 29829

9952T36-50Other Parasomnia due to adverse effect of drugs, medicaments and biological

substances

Sleep Related Movement Disorder

78058G4761Restless Legs Syndrome (including Sleep Related Growing Pains)

78058G4762Periodic Limb Movement Sleep Disorder

78058G4763Sleep-related Leg Cramps

78058G4764Sleep Related Bruxism

78058G4765Sleep Related Rhythmic Movement Disorder

78054G4719Other Sleep Related Movement Disorder due to a known physiological condition

30744F5119Other Sleep Related Movement Disorder not due to a substance or known

physiological condition

29189F10-19Other Sleep Related Movement Disorder due to a substance

& 29829

9952T36-50Other Sleep Related Movement Disorder due to adverse effect of drugs,
medicaments and biological substances
Other Sleep Disorder
78059G478Sleep Related Epilepsy

78059G478Sleep Related Headaches

78059G478Sleep Related Gastroesophageal Reflux Disease

78059G478Sleep Related Coronary Artery Ischemia

78059G478Sleep Related Abnormal Swallowing

78059G478Sleep Related Choking

78059G478Sleep Related Laryngospasm

78059G478REM Sleep Related Sinus Arrest

Isolated Symptoms, apparently Normal Variants and Unresolved Issues

30749R2981Long Sleeper

30749R2981Short Sleeper

78609R065Snoring

78101R258Sleep Starts, Hypnic Jerks

78101R258Benign Sleep Myoclonus of Infancy

78101R258Hypnagogic Foot Tremor

78101R258Fragmentary Myoclonus

78101R258Propriospinal Myoclonus at Sleep Onset

78101R258Sleep and Exercise Related Dystonia

Atypical Polysomnographic Findings

Alpha Intrusions

Cyclic Alternating Pattern

Alternating Leg Muscle Activation during Sleep