Circadian rhythm sleep disorder, unspecified type
ICD-10 G47.20 is a billable code used to indicate a diagnosis of circadian rhythm sleep disorder, unspecified type.
Circadian rhythm sleep disorder (CRSD) refers to a group of sleep disorders that disrupt the body's internal clock, leading to misalignment between the individual's sleep-wake cycle and the external environment. This disorder can manifest in various forms, including delayed sleep phase disorder, advanced sleep phase disorder, and irregular sleep-wake rhythm. Patients may experience excessive daytime sleepiness, insomnia, or both, depending on the specific type of CRSD. The condition can be triggered by factors such as shift work, travel across time zones, or lifestyle choices. Diagnosis typically involves a thorough clinical evaluation, including sleep history and possibly a sleep study (polysomnography) to assess sleep patterns and identify any underlying sleep disorders. Treatment may include behavioral interventions, light therapy, and, in some cases, pharmacotherapy to help realign the circadian rhythm. Understanding the nuances of CRSD is crucial for effective management and improving patient outcomes.
Detailed sleep history, results from polysomnography, and treatment plans.
Patients presenting with chronic insomnia, excessive daytime sleepiness, or those undergoing shift work.
Ensure documentation reflects the impact of lifestyle and environmental factors on sleep patterns.
Assessment of mental health conditions that may contribute to sleep disorders, including mood disorders.
Patients with co-occurring mood disorders and sleep disturbances.
Document any psychiatric evaluations that may influence sleep patterns.
Used to evaluate sleep patterns in patients suspected of having CRSD.
Document the reason for the sleep study and any prior treatment attempts.
Sleep specialists should ensure comprehensive reporting of findings.
Common symptoms include insomnia, excessive daytime sleepiness, difficulty waking up in the morning, and irregular sleep patterns.
Diagnosis typically involves a comprehensive sleep history, assessment of lifestyle factors, and may include a sleep study to evaluate sleep patterns.
