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R06.81

Billable

Apnea, not elsewhere classified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Temporary cessation of breathing that is not classified elsewhere, such as brief pauses in breathing during sleep or wakefulness.

Coding Tips

  • •Distinguish between sleep apnea (G47.3x) and other forms of apnea using this code only when sleep apnea is not documented
  • •Document the context and duration of apneic episodes to guide clinical investigation

Excludes 1 — Do NOT code together

  • apnea (of) newborn (P28.4-)
  • sleep apnea (G47.3-)
  • sleep apnea of newborn (primary) (P28.3-)

Code Hierarchy

└R06Abnormalities of breathing└R06.8Other abnormalities of breathing└R06.81Apnea, not elsewhere classified
└R06.81Apnea, not elsewhere classified

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