Синдром Апноэ
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Сомнологические Центры Москва
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Международная классификация нарушений сна - МКНС (вторая версия, 2004 г.) стала результатом работы большого количества экспертов в области нарушений сна. В настоящее время ожидается публикация окончательной версии (ориентировочно, июль 2005 г.). Мы сознательно сохранили оригинальный (английский) вариант МКНС до момента публикации окончательного варианта, после чего, на нашем сайте появится русскоязычный аналог МКНС.
ICSD-2 Sleep disorder Categories and Individual Sleep disorders
Insomnias ICD-9 ICD-10
Adjustment Sleep disorder (Acute Insomnia) 307.41 F 51.01
Psychophysiological Insomnia 307.42 F 51.03
Paradoxical Insomnia (formerly Sleep State Misperception) 307.42 F 51.02
Idiopathic Insomnia 780.52 F 51.04
Insomnia due to mental disorder (Code also the associated mental disorder) 307.42 F 51.05
Inadequate Sleep Hygiene (Code also any associated insomnia
[F51.0- , G47.0- ])
307.41 Z72.821
Behavioral Insomnia of Childhood 307.42 Z73.81
      Sleep-onset Association Type - Z73.810
      Limit-setting Sleep Type - Z73.811
      Combined Type - Z73.812
      Unspecified Type - Z73.819
Insomnia due to a medical condition (Code also the associated medical condition) 780.52 G 47.03
Insomnia due to a drug or substance (Code first [T36-T65 with 6th character 1-4] to identify drug or substance, and use additional code [T36-T50 with 6th character 5] to identify adverse effect of drug). Use F10-F19 codes when there is associated drug abuse or dependence. 291.89 G 47.02
Insomnia not due to a substance or known physiological condition, unspecified (Nonorganic Insomnia, NOS) 307.42 F 51.00
Physiological (organic) insomnia, unspecified; (Organic Insomnia, NOS) 780.52 G 47.00
Sleep-Related Breathing Disorders
Central Sleep Apnea Syndromes
Primary Central Sleep Apnea 780.51 G 47.31
Other Central Sleep Apnea due to a medical condition 780.57 G 47.39
      Cheyne Stokes Breathing Pattern - -
      High Altitude Periodic Breathing - -
      Central Sleep Apnea due to a medical condition, not Cheyne Stokes or High Altitude - -
Central Sleep Apnea due to a drug or substance 995.2 G 47.36
Other Sleep-Related Breathing Disorder due to a drug or substance - -
Primary Sleep Apnea of Infancy (formerly Primary Sleep Apnea of Newborn) 770.81 P 28.3
Obstructive Sleep Apnea Syndromes
Obstructive Sleep Apnea, Adult 780.53 G 47.32
Obstructive Sleep Apnea, Pediatric 780.53 G 47.32
Sleep-Related Hypoventilation/Hypoxemic Syndromes
Sleep-Related Non-obstructive Alveolar Hypoventilation, Idiopathic 780.57 G 47.34
Congenital Central Alveolar Hypoventilation Syndrome 780.57 G 47.35
Sleep-Related Hypoventilation/Hypoxemia due to a medical condition 780.57 G 47.37
      Sleep-Related Hypoventilation/Hypoxemia due to pulmonary parenchymal or vascular pathology - -
      Sleep-Related Hypoventilation/Hypoxemia due to lower airways obstruction - -
      Sleep-Related Hypoventilation/Hypoxemia due to neuromuscular or chest wall disorders - -
Other Sleep-Related Breathing Disorder
Sleep Apnea/Sleep-Related Breathing Disorder, unspecified (Sleep-Related Breathing Disorder, NOS) 780.57 G 47.30
Hypersomnias Not Due to a Sleep-Related Breathing Disorder
Narcolepsy
Narcolepsy with Cataplexy 347.01 G 47.41
Narcolepsy without Cataplexy 347.00 G 47.42
Narcolepsy due to a medical condition 347.1 G 47.43
Narcolepsy, unspecified 347 G 47.0
Other Hypersomnias
Recurrent Hypersomnia 780.54 G 47.11
      Kleine-Levin Syndrome - -
      Menstrual-Related Hypersomnia - -
Idiopathic Hypersomnia with long sleep time 780.54 G 47.12
Idiopathic Hypersomnia without long sleep time 780.54 G 47.13
Behaviorally Induced Insufficient Sleep Syndrome 307.44 F 51.11
Hypersomnia due to a medical condition 780.54 G 47.15
Hypersomnia due to a drug or substance 995.2 G 47.14
Hypersomnia not due to a substance or known physiological condition (Nonorganic Hypersomnia, NOS) 307.44 F 51.10
Physiological (Organic) Hypersomnia, unspecified (Organic Hypersomnia, NOS) 780.54 G 47.10
Circadian Rhythm Sleep disorders
Primary Circadian Rhythm Sleep disorders
Circadian Rhythm Sleep disorder, Delayed sleep phase type 780.55 G 47.21
Circadian Rhythm Sleep disorder, Advanced sleep phase type 780.55 G 47.22
Circadian Rhythm Sleep disorder, Irregular sleep-wake type 780.55 G 47.23
Circadian Rhythm Sleep disorder, Free running (non-entrained) type 780.55 G 47.24
Circadian Rhythm Sleep disorders due to a medical condition 780.55 G 47.26
Primary (Organic) Circadian Rhythm Sleep disorders, unspecified other physiological (organic) circadian rhythm, unspecified (organic circadian rhythm disorder, NOS) 780.55 G 47.20
Behaviorally Induced Circadian Rhythm Sleep disorders
Circadian Rhythm Sleep disorder not due to a substance or known physiological condition, jet lag type 307.45 F 51.21
Circadian Rhythm Sleep disorder not due to a substance or known physiological condition, shift work type 307.45 F 51.22
Circadian Rhythm Sleep disorder not due to a substance or known physiological condition, delayed sleep phase type 307.45 F 51.23
Circadian Rhythm Sleep disorder not due to a substance or known physiological condition, unspecified (Nonorganic circadian rhythm Sleep disorder, NOS) 307.45 F 51.20
Other Circadian Rhythm Sleep disorder not due to a substance or known physiological condition 307.45 F 51.29
Other Circadian Rhythm Sleep disorder due to a drug or substance 291.89 G 47.25
Parasomnias
Disorders of Arousal (From Non-REM Sleep)
Confusional Arousals 780.56 G 47.51
Sleepwalking 307.46 F 51.3
Sleep Terrors 307.46 F 51.4
Parasomnias Usually Associated with REM Sleep
REM Sleep Behavior Disorder 780.56 G 47.52
      Parasomnia Overlap Disorder - -
      Status Dissociatus - -
Recurrent Isolated Sleep Paralysis 780.56 G 47.53
Nightmare Disorder 307.47 F 51.5
Other Parasomnias
Sleep-Related Dissociative Disorder 300.15 F 44.9
Sleep-Related Enuresis 788.36 N 39.44
Sleep-Related Groaning (Catathrenia) 780.56 G 47.50
Exploding Head Syndrome 780.56 G 47.50
Sleep-Related Hallucinations 307.49 R 29.81
Sleep-Related Eating Disorder 780.56 G 47.59
Parasomnia, unspecified 780.56 G 47.50
Parasomnia due to a drug or substance 780.56 G 47.54
Parasomnia due to a medical condition 780.56 G 47.55
Sleep-Related Movement Disorders
Restless Legs Syndrome (including Sleep-Related Growing Pains) 333.99 G 47.61
Periodic Limb Movement Sleep disorder 780.58 G 47.62
Sleep-Related Leg Cramps 780.58 G 47.63
Sleep-Related Bruxism 780.58 G 47.64
Sleep-Related Rhythmic Movement Disorder 780.58 G 47.65
Sleep-Related Movement Disorder, unspecified (no text) 780.58 G 47.60
Sleep-Related Movement Disorder due to a drug or substance (no text) 291.89 G 47.66
Sleep-Related Movement disorder due to a medical condition 780.58 G 47.67
Isolated Symptoms, Apparently Normal Variants, and Unresolved Issues
Long Sleeper 307.49 R 29.81
Short Sleeper 307.49 R 29.81
Snoring 786.09 R 06.5
Sleeptalking 307.49 R 29.81
Sleep Starts, Hypnic Jerks 781.01 R 25.8
Benign Sleep Myoclonus of Infancy 781.01 R 25.8
Hypnagogic Foot Tremor and Alternating Leg Muscle Activation during Sleep 781.01 R 25.8
Propriospinal Myoclonus at Sleep Onset 781.01 R 25.8
Excessive Fragmentary Myoclonus 781.01 R 25.8
Other Sleep disorders
Other Physiological (Organic) Sleep disorder 780.50 G 47.8
Physiological (Organic) Sleep disorder, unspecified 780.50 G 47.8
Other Sleep disorder not due to a substance or physiological condition 307.40 F 51.8
Environmental Sleep disorder - -
Sleep disorder not due to a substance or physiological condition, unspecified 307.40 F 51.9
APPENDIX A: Sleep disorders Associated with Conditions Classifiable Elsewhere
Fatal Familial Insomnia 046.8 A 81.8
Fibromyalgia 729.1 M 79.0
Sleep-Related Epilepsy 345 G 40.5
Sleep-Related Headaches 784.0 R 51
Sleep-Related Gastroesophageal Reflux Disease 530.1 K 21.9
Sleep-Related Coronary Artery Ischemia 411.8 I 25.6
Sleep-Related Cardiac Arrhythmias 427 I 49.9
Sleep-Related Abnormal Swallowing, Choking, and Laryngospasm 787.2 R 13.1
APPENDIX B: Other Psychiatric/Behavioral Disorders Frequently Encountered in the Differential Diagnosis of Sleep disorders
Mood Disorders - -
Anxiety Disorders - -
Selected Somatoform Disorders (Somatization Disorder, Hypochondriasis) - -
Schizophrenia and other Psychotic Disorders - -
Selected Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence (Mental Retardation, Pervasive Developmental Disorders, Attention Deficit/Hyperactivity Disorder) - -
Personality Disorder - -
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