ICD-10: G47.14

ICD-10 code G47.14 refers to Hypersomnia due to a medical condition, which is classified under the broader category of sleep disorders. This condition is characterized by excessive daytime sleepiness that is primarily caused by an underlying medical issue rather than being a standalone sleep disorder.

Clinical Description

Definition

Hypersomnia is defined as a condition where an individual experiences excessive sleepiness during the day, which can lead to prolonged sleep episodes or difficulty in maintaining wakefulness. When classified under G47.14, it indicates that this excessive sleepiness is a direct result of another medical condition, such as neurological disorders, metabolic issues, or other systemic illnesses.

Etiology

The causes of hypersomnia due to a medical condition can vary widely and may include:

• Neurological Disorders: Conditions such as multiple sclerosis, Parkinson's disease, or brain injuries can disrupt normal sleep patterns and lead to hypersomnia.
• Metabolic Disorders: Disorders like hypothyroidism or diabetes can affect energy levels and sleep regulation.
• Chronic Illnesses: Conditions such as chronic obstructive pulmonary disease (COPD) or heart failure can contribute to fatigue and excessive sleepiness.
• Infections: Certain infections, particularly those affecting the central nervous system, can also lead to hypersomnia.

Symptoms

Patients with hypersomnia due to a medical condition may exhibit the following symptoms:

• Persistent daytime sleepiness
• Difficulty waking up from sleep
• Prolonged nighttime sleep
• Cognitive impairments, such as difficulty concentrating or memory issues
• Mood disturbances, including irritability or depression

Diagnosis

Diagnosing hypersomnia due to a medical condition typically involves:

1. Clinical Evaluation: A thorough medical history and physical examination to identify any underlying medical conditions.
2. Sleep Studies: Polysomnography may be conducted to assess sleep patterns and rule out other sleep disorders, such as sleep apnea.
3. Laboratory Tests: Blood tests or imaging studies may be necessary to identify metabolic or neurological causes.

Treatment

Management of hypersomnia due to a medical condition focuses on treating the underlying medical issue. This may include:

• Medications: Depending on the underlying condition, medications may be prescribed to manage symptoms or treat the primary illness.
• Lifestyle Modifications: Encouraging regular sleep hygiene practices, such as maintaining a consistent sleep schedule and creating a conducive sleep environment.
• Therapies: Cognitive-behavioral therapy (CBT) or other therapeutic interventions may be beneficial for managing associated mood disorders.

Conclusion

ICD-10 code G47.14 encapsulates a significant clinical concern where excessive daytime sleepiness is symptomatic of an underlying medical condition. Proper diagnosis and treatment are crucial for improving the quality of life for affected individuals. Understanding the interplay between hypersomnia and various medical conditions can aid healthcare providers in delivering effective care and management strategies tailored to each patient's needs.

Hypersomnia due to medical condition, classified under ICD-10 code G47.14, is characterized by excessive daytime sleepiness that is primarily caused by an underlying medical condition. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this diagnosis is crucial for effective management and treatment.

Clinical Presentation

Definition and Overview

Hypersomnia is defined as excessive sleepiness that occurs despite adequate or prolonged sleep. When this condition is attributed to a medical condition, it can manifest in various ways depending on the underlying cause. Common medical conditions associated with hypersomnia include neurological disorders, metabolic disorders, and psychiatric conditions[1][2].

Signs and Symptoms

Patients with hypersomnia due to a medical condition may exhibit a range of signs and symptoms, including:

• Excessive Daytime Sleepiness (EDS): The hallmark symptom, where individuals struggle to stay awake during the day, often leading to unintentional naps[3].
• Prolonged Nighttime Sleep: Patients may report sleeping longer than usual at night, yet still feel unrefreshed upon waking[4].
• Difficulty Waking Up: Many individuals experience significant difficulty waking up in the morning, often feeling groggy or disoriented[5].
• Cognitive Impairment: This can include difficulties with attention, memory, and decision-making, which may be exacerbated by the underlying medical condition[6].
• Mood Changes: Patients may experience irritability, anxiety, or depression, which can be both a symptom of hypersomnia and a consequence of the underlying condition[7].

Patient Characteristics

The characteristics of patients diagnosed with hypersomnia due to a medical condition can vary widely, but some common factors include:

• Age: Hypersomnia can affect individuals of any age, but certain underlying conditions may be more prevalent in specific age groups. For instance, neurological disorders may be more common in older adults[8].
• Gender: Some studies suggest that men may be more likely to experience hypersomnia due to certain medical conditions, although this can vary based on the specific underlying cause[9].
• Comorbidities: Patients often have other medical conditions, such as obesity, diabetes, or chronic pain syndromes, which can contribute to the severity of hypersomnia[10].
• Sleep History: A detailed sleep history is essential, as patients may have a history of sleep disorders, such as obstructive sleep apnea, which can complicate the clinical picture[11].

Diagnostic Considerations

Diagnosing hypersomnia due to a medical condition involves a comprehensive evaluation, including:

• Medical History: A thorough review of the patient's medical history to identify any underlying conditions that may contribute to hypersomnia[12].
• Sleep Studies: Polysomnography or other sleep studies may be conducted to assess sleep patterns and rule out other sleep disorders[13].
• Laboratory Tests: Blood tests and other diagnostic procedures may be necessary to identify metabolic or endocrine disorders that could be causing excessive sleepiness[14].

Conclusion

Hypersomnia due to medical conditions, represented by ICD-10 code G47.14, is a complex disorder that requires careful evaluation and management. Recognizing the clinical presentation, signs, symptoms, and patient characteristics is essential for healthcare providers to develop effective treatment plans. Addressing the underlying medical conditions is crucial in alleviating the symptoms of hypersomnia and improving the patient's overall quality of life. Further research and clinical awareness are needed to enhance understanding and management of this condition in diverse patient populations.

References

1. Classification of Sleep Disorders - PMC.
2. Clinical Practice Guidelines for Sleep Disorders.
3. Diagnosis, classification, symptoms, and causes of hypersomnias.
4. Characteristics of adults newly diagnosed with idiopathic hypersomnia.
5. Idiopathic Hypersomnia Symptoms & Diagnostic Criteria.
6. Central Disorders of Hypersomnolence.
7. Identifying Cases of Sleep Disorders through International Classification.
8. ICD-10-CM Diagnosis Code G47.14: Hypersomnia due to medical condition.
9. ICD-10-CM Code G47.14 Hypersomnia due to medical condition - ICD.Codes.
10. Hypersomnia due to medical condition - G47.14 ICD 10 Code.
11. 2025 ICD-10-CM Diagnosis Code G47.14: Hypersomnia due to medical condition.
12. Article Classification of Sleep Disorders.
13. Neurotherapeutics Classification of Sleep Disorders.
14. 6 Defining characteristics aka Clinical Presentation What are the.

ICD-10 code G47.14 refers to "Hypersomnia due to medical condition," which is classified under the broader category of sleep disorders. Understanding alternative names and related terms for this diagnosis can enhance clarity in medical documentation and communication. Below is a detailed overview of alternative names and related terms associated with G47.14.

Alternative Names for G47.14

1. Secondary Hypersomnia: This term emphasizes that the hypersomnia is a result of another medical condition rather than a primary sleep disorder.
2. Hypersomnia Secondary to Medical Conditions: A more descriptive phrase that specifies the cause of the hypersomnia.
3. Hypersomnia Associated with Medical Disorders: This term highlights the relationship between hypersomnia and underlying medical issues.

Related Terms

1. Excessive Daytime Sleepiness (EDS): While not synonymous, EDS is a common symptom associated with hypersomnia and can occur due to various medical conditions.
2. Somnolence: This term refers to a state of strong desire for sleep or sleeping for unusually long periods, which can be a symptom of hypersomnia.
3. Sleep Disorders: A broader category that includes various conditions affecting sleep, including hypersomnia.
4. Central Disorders of Hypersomnolence: This classification includes conditions characterized by excessive sleepiness, which encompasses G47.14.
5. Medical Conditions Leading to Hypersomnia: This phrase can refer to specific conditions such as hypothyroidism, depression, or neurological disorders that may cause hypersomnia.

Conditions Often Associated with G47.14

Certain medical conditions are frequently linked to hypersomnia, and understanding these can provide context for the diagnosis:

• Neurological Disorders: Conditions like multiple sclerosis or Parkinson's disease can lead to hypersomnia.
• Endocrine Disorders: Hypothyroidism is a notable example where hormonal imbalances can cause excessive sleepiness.
• Mental Health Disorders: Depression and anxiety can also manifest as hypersomnia, contributing to the diagnosis under G47.14.

Conclusion

ICD-10 code G47.14, or "Hypersomnia due to medical condition," encompasses a range of alternative names and related terms that reflect its nature as a secondary condition linked to various medical issues. Understanding these terms is crucial for accurate diagnosis, treatment, and communication among healthcare professionals. By recognizing the broader context of hypersomnia, practitioners can better address the underlying causes and improve patient outcomes.

The diagnosis of hypersomnia due to a medical condition, classified under ICD-10 code G47.14, involves specific criteria that healthcare professionals must consider. This condition is characterized by excessive daytime sleepiness that is not attributable to primary sleep disorders like narcolepsy or sleep apnea but is instead secondary to an underlying medical issue. Here’s a detailed overview of the diagnostic criteria and considerations for G47.14.

Diagnostic Criteria for Hypersomnia Due to Medical Condition

1. Excessive Daytime Sleepiness (EDS)

• The primary symptom is excessive daytime sleepiness, which can manifest as prolonged sleep episodes, difficulty waking up, or a persistent need to nap during the day. This symptom must be significant enough to impair social, occupational, or other important areas of functioning[1].

2. Underlying Medical Condition

• The hypersomnia must be linked to a specific medical condition. Common conditions associated with G47.14 include:
  • Neurological disorders (e.g., multiple sclerosis, Parkinson's disease)
  • Endocrine disorders (e.g., hypothyroidism)
  • Metabolic disorders (e.g., diabetes)
  • Chronic illnesses (e.g., heart failure, chronic obstructive pulmonary disease) that can lead to fatigue and sleepiness[2][3].

3. Exclusion of Primary Sleep Disorders

• It is crucial to rule out primary sleep disorders that could explain the excessive sleepiness. This includes conducting a thorough sleep history and possibly polysomnography to assess for conditions like obstructive sleep apnea or narcolepsy[4].

4. Duration of Symptoms

• Symptoms should be present for a significant duration, typically at least three months, to establish a diagnosis of hypersomnia due to a medical condition. This timeframe helps differentiate it from transient sleepiness that may occur due to acute illness or stress[5].

5. Impact on Daily Life

• The excessive sleepiness must cause significant distress or impairment in social, occupational, or other important areas of functioning. This can include difficulties in maintaining employment, social relationships, or daily activities[6].

6. Clinical Evaluation

• A comprehensive clinical evaluation is necessary, which may include:
  • A detailed medical history
  • Physical examination
  • Laboratory tests to identify any underlying medical conditions contributing to the hypersomnia[7].

Conclusion

Diagnosing hypersomnia due to a medical condition (ICD-10 code G47.14) requires a careful assessment of excessive daytime sleepiness in the context of an underlying medical issue. Clinicians must ensure that other primary sleep disorders are ruled out and that the symptoms significantly impact the patient's daily life. Proper diagnosis is essential for effective management and treatment of the condition, which may involve addressing the underlying medical issues contributing to the hypersomnia.

For further information or specific case evaluations, healthcare providers may refer to the latest clinical guidelines and diagnostic manuals related to sleep disorders.

Hypersomnia due to medical conditions, classified under ICD-10 code G47.14, refers to excessive daytime sleepiness that is primarily caused by an underlying medical issue rather than a primary sleep disorder. Understanding the standard treatment approaches for this condition involves recognizing the underlying causes, as treatment is often tailored to address these specific medical issues.

Understanding Hypersomnia Due to Medical Conditions

Hypersomnia can arise from various medical conditions, including neurological disorders, metabolic issues, and psychiatric conditions. Common causes include:

• Neurological Disorders: Conditions such as multiple sclerosis or Parkinson's disease can lead to excessive sleepiness.
• Metabolic Disorders: Hypothyroidism and other endocrine disorders may contribute to hypersomnia.
• Psychiatric Conditions: Depression and anxiety disorders can also manifest as excessive daytime sleepiness.

Standard Treatment Approaches

1. Addressing Underlying Medical Conditions

The first step in treating hypersomnia due to a medical condition is to identify and manage the underlying cause. This may involve:

• Medication Management: Adjusting medications that may contribute to sleepiness or treating the underlying condition with appropriate pharmacotherapy.
• Hormonal Treatments: For conditions like hypothyroidism, hormone replacement therapy can alleviate symptoms of hypersomnia.

2. Lifestyle Modifications

In addition to medical treatment, lifestyle changes can significantly impact the management of hypersomnia:

• Sleep Hygiene: Encouraging good sleep practices, such as maintaining a regular sleep schedule, creating a conducive sleep environment, and avoiding stimulants before bedtime.
• Diet and Exercise: A balanced diet and regular physical activity can improve overall health and energy levels, potentially reducing daytime sleepiness.

3. Pharmacological Interventions

When lifestyle modifications and treatment of underlying conditions are insufficient, pharmacological options may be considered:

• Stimulants: Medications such as modafinil or armodafinil are often prescribed to promote wakefulness in patients with excessive daytime sleepiness.
• Antidepressants: In cases where hypersomnia is linked to depression, antidepressants may help alleviate both mood and sleepiness symptoms.

4. Cognitive Behavioral Therapy (CBT)

For patients whose hypersomnia is exacerbated by psychological factors, cognitive behavioral therapy can be beneficial. CBT can help address underlying anxiety or depression, which may contribute to excessive sleepiness.

5. Regular Follow-Up and Monitoring

Ongoing assessment of the patient's condition is crucial. Regular follow-ups can help adjust treatment plans based on the patient's response to therapy and any changes in their medical status.

Conclusion

The management of hypersomnia due to medical conditions (ICD-10 code G47.14) requires a comprehensive approach that includes addressing the underlying medical issues, implementing lifestyle changes, and considering pharmacological treatments when necessary. By tailoring treatment to the individual’s specific needs and conditions, healthcare providers can significantly improve the quality of life for those affected by this challenging condition. Regular monitoring and adjustments to the treatment plan are essential to ensure optimal outcomes.