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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 G47.419

Billable / Specific

Narcolepsy without cataplexy

G47
Block
1
Synonyms
421
LCDs
18
Payer Policies
14
Linked CPTs

About ICD-10-CM G47.419

ICD-10-CM code G47.419 represents Narcolepsy without cataplexy. This is a billable/specific code in the Nervous System chapter (block G47). The 2026 edition of ICD-10-CM G47.419 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under G47.419. Per CMS ICD-10-CM Tabular 2026.

  • Narcolepsy NOS

Medicare LCD Coverage for G47.419

Local Coverage Determinations (LCDs) from CMS MACs that list G47.419 as a covered diagnosis.

421 LCDs

Showing top 10 of 421 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies
Article ID: 56903, Effective: 2025-06-26 00:00:00, 28 covered, 0 non-covered
CPT 95807 →
CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies
Article ID: 56903, Effective: 2025-06-26 00:00:00, 28 covered, 0 non-covered
CPT 95805 →
CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies
Article ID: 56903, Effective: 2025-06-26 00:00:00, 28 covered, 0 non-covered
CPT 95806 →
CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies
Article ID: 56903, Effective: 2025-06-26 00:00:00, 28 covered, 0 non-covered
CPT 95810 →
CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies
Article ID: 56903, Effective: 2025-06-26 00:00:00, 28 covered, 0 non-covered
CPT G0399 →
CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies
Article ID: 56903, Effective: 2025-06-26 00:00:00, 28 covered, 0 non-covered
CPT 95800 →
CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies
Article ID: 56903, Effective: 2025-06-26 00:00:00, 28 covered, 0 non-covered
CPT 95808 →
CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies
Article ID: 56903, Effective: 2025-06-26 00:00:00, 28 covered, 0 non-covered
CPT 95801 →
CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies
Article ID: 56903, Effective: 2025-06-26 00:00:00, 28 covered, 0 non-covered
CPT 95811 →
CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies
Article ID: 56903, Effective: 2025-06-26 00:00:00, 28 covered, 0 non-covered
CPT G0398 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G47.419.

18 policies

1 Cigna

Ambulatory External and Implantable Electrocardiographic Monitoring - (0547)
Policy ID: MM_0547

5 Medicare

Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Polysomnography and Other Sleep Studies
Policy ID: ART-56903
Billing and Coding: Outpatient Sleep Studies
Policy ID: ART-56923
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-56937
Billing and Coding: Polysomnography
Policy ID: ART-56995

CPT Codes Commonly Billed with G47.419

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

14 linkages
  • 95805 CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies CMS LCD
  • 95783 CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies CMS LCD
  • 95806 CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies CMS LCD
  • G0399 CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies CMS LCD
  • 95801 CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies CMS LCD
  • 95803 CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies CMS LCD
  • 95810 CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies CMS LCD
  • 95800 CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies CMS LCD
  • 95811 CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies CMS LCD
  • G0398 CMS LCD: Billing and Coding: Polysomnography and Other Sleep Studies CMS LCD

Convert G47.419 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
G47.419 34700 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To G47.419

Other codes in section G40-G47 (Episodic and paroxysmal disorders).

G40 Epilepsy and recurrent seizures (non-billable) G40.0 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset (non-billable) G40.00 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable (non-billable) G40.001 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, with status epilepticus G40.009 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus G40.01 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable (non-billable) G40.011 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, with status epilepticus G40.019 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus G40.1 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures (non-billable) G40.10 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable (non-billable) G40.101 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, with status epilepticus G40.109 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, without status epilepticus G40.11 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable (non-billable) G40.111 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus G40.119 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus G40.2 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures (non-billable) G40.20 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable (non-billable) G40.201 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, with status epilepticus G40.209 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus G40.21 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable (non-billable)

ICD-10 G47.419, Billing FAQ

Is ICD-10 code G47.419 billable? +

Yes, G47.419 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to G47.419? +

ICD-10 G47.419 includes: Narcolepsy NOS.

What CPT codes are commonly billed with G47.419? +

Procedures frequently paired with G47.419 include: 95805, 95783, 95806, G0399, 95801.

What ICD-9 codes does G47.419 map to? +

Per CMS GEMs, G47.419 maps to ICD-9 codes: 34700. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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