AHA Coding Clinic® for ICD-9 - 2004 Issue 4; VOLUMES 1 AND 2 NEW/REVISED DIAGNOSIS CODES
Sleep Related Movement Disorder
Effective October 1, 2004, code 780.58, Sleep related movement disorder, has been created to uniquely identify sleep related movement disorders. This code includes periodic limb movement disorder (PLMD). PLMD, which affects people only during sleep, is characterized by behavior ranging from shallow, continual movement of the ankle or toes, to wild strenuous kicking and flailing of the legs and arms. Movement of the legs is more typical than movement of the arms in PLMD. These movements typically occur every 20 to 40 seconds, and may be associated with repeated arousal and severely fragmented sleep. The incidence of PLMD...
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Article Overview
This article covers the creation of a new ICD-9-CM diagnosis code for sleep-related movement disorder and discusses how it relates to periodic limb movement disorder and restless leg syndrome. It is useful for coders, billers, compliance staff, and clinicians who need to understand the scope of the code change, the affected clinical concepts, and the related classification context in ICD-9-CM.
Why This Topic Matters
Understanding this code update helps ensure sleep-related movement disorders are categorized consistently in the diagnosis coding system and that related conditions are recognized within the appropriate ICD-9-CM framework.
Article Sections
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Overview of the new sleep-related movement disorder code
Introduces the newly created diagnosis code and the general category of sleep-related movement disorders it was intended to represent.
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Relationship to periodic limb movement disorder and restless leg syndrome
Discusses the clinical relationship between two similar movement conditions and places them in the broader sleep and neurologic context.
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ICD-9-CM classification notes
Summarizes the code placement within ICD-9-CM and notes the related exclusion reference included in the article.
What You Will Learn
- How the article frames the addition of a new sleep-related diagnosis code
- How periodic limb movement disorder is discussed in relation to sleep-related movement disorder
- How restless leg syndrome is distinguished in the ICD-9-CM context
- What classification context the article provides for the code change
Who Should Read This
- Medical coders
- Medical billers
- Compliance professionals
- Clinical documentation staff
- Healthcare providers
Codes Discussed
Code Ranges Discussed
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