ICD-10 Code G47.53 – Recurrent isolated sleep paralysis (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code G47.53 – Recurrent isolated sleep paralysis
What it is
G47.53 identifies recurrent isolated sleep paralysis, a sleep disorder where you cannot move briefly when falling asleep or waking up. It occurs without another sleep disorder, medical cause, or substance explanation.
Clinical signs
Episodes usually involve temporary inability to speak or move, often with preserved awareness. Clinical features vary; refer to documentation for associated fear, chest pressure, or hallucinations.
When to use this code
Use G47.53 when the record documents repeated sleep paralysis episodes and the clinician diagnoses recurrent isolated sleep paralysis. You should also see that other causes, such as narcolepsy, seizures, or medication effects, have been considered or excluded. If the note is unclear, check documentation.
Do not use for
Do not use this code for a single isolated episode without recurrence, or when sleep paralysis is explained by another disorder or substance. Check documentation if the diagnosis is instead narcolepsy or another sleep-related condition.
Coding tip
Code only when the provider explicitly documents recurrent isolated sleep paralysis; otherwise, query for clarification.