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ICD-10 Guide
ICD-10 CodesG47.23

G47.23

Billable

Circadian rhythm sleep disorder, irregular sleep wake type

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G47.23 is a billable code used to indicate a diagnosis of circadian rhythm sleep disorder, irregular sleep wake type.

Key Diagnostic Point:

Circadian rhythm sleep disorder, irregular sleep-wake type, is characterized by a persistent pattern of sleep-wake disturbances that do not align with the conventional day-night cycle. Individuals with this disorder often experience fragmented sleep and irregular sleep patterns, leading to excessive daytime sleepiness and impaired functioning. This condition can be caused by various factors, including neurological disorders, psychiatric conditions, or environmental influences. Patients may find it challenging to maintain a consistent sleep schedule, resulting in difficulties with work, social interactions, and overall quality of life. Diagnosis typically involves a thorough clinical evaluation, including sleep history, sleep diaries, and possibly polysomnography to assess sleep architecture and identify any underlying sleep disorders such as sleep apnea or narcolepsy. Treatment may include behavioral interventions, light therapy, and, in some cases, pharmacotherapy to help regulate the sleep-wake cycle.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and symptoms
  • Need for comprehensive sleep history and documentation
  • Potential overlap with other sleep disorders
  • Interpretation of sleep study results

Audit Risk Factors

  • Inadequate documentation of sleep patterns
  • Failure to document co-existing sleep disorders
  • Lack of objective sleep study results
  • Insufficient clinical correlation with symptoms

Specialty Focus

Medical Specialties

Sleep Medicine

Documentation Requirements

Detailed sleep history, results of sleep studies, and treatment plans.

Common Clinical Scenarios

Patients presenting with chronic insomnia, excessive daytime sleepiness, or irregular sleep patterns.

Billing Considerations

Ensure comprehensive documentation of sleep study findings and any co-morbid conditions.

Psychiatry

Documentation Requirements

Mental health evaluations, treatment history, and any psychiatric medications prescribed.

Common Clinical Scenarios

Patients with mood disorders or anxiety presenting with sleep disturbances.

Billing Considerations

Document the relationship between psychiatric conditions and sleep disorders.

Coding Guidelines

Inclusion Criteria

Use G47.23 When
  • According to the ICD
  • CM coding guidelines, G47
  • 23 should be used when the patient's sleep
  • wake cycle is irregular and significantly impacts their daily functioning
  • It is essential to document the duration and severity of symptoms and any relevant sleep study results

Exclusion Criteria

Do NOT use G47.23 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95810CPT Code

Polysomnography

Clinical Scenario

Used to diagnose sleep disorders, including G47.23.

Documentation Requirements

Document the indications for the sleep study and results.

Specialty Considerations

Sleep specialists should ensure comprehensive reporting of findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sleep disorders, including G47.23, which helps in better tracking and management of these conditions. It emphasizes the need for detailed documentation and understanding of the patient's sleep patterns.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sleep disorders, including G47.23, which helps in better tracking and management of these conditions. It emphasizes the need for detailed documentation and understanding of the patient's sleep patterns.

Reimbursement & Billing Impact

impact of the disorder on daily functioning. Clear linkage between the diagnosis and treatment is essential for reimbursement.

Resources

Clinical References

  • •
    American Academy of Sleep Medicine

Coding & Billing References

  • •
    American Academy of Sleep Medicine

Frequently Asked Questions

What are the common symptoms of G47.23?

Common symptoms include irregular sleep patterns, excessive daytime sleepiness, difficulty concentrating, and impaired social or occupational functioning.