Circadian rhythm sleep disorder, irregular sleep wake type
ICD-10 G47.23 is a billable code used to indicate a diagnosis of circadian rhythm sleep disorder, irregular sleep wake type.
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.
Detailed sleep history, results of sleep studies, and treatment plans.
Patients presenting with chronic insomnia, excessive daytime sleepiness, or irregular sleep patterns.
Ensure comprehensive documentation of sleep study findings and any co-morbid conditions.
Mental health evaluations, treatment history, and any psychiatric medications prescribed.
Patients with mood disorders or anxiety presenting with sleep disturbances.
Document the relationship between psychiatric conditions and sleep disorders.
Used to diagnose sleep disorders, including G47.23.
Document the indications for the sleep study and results.
Sleep specialists should ensure comprehensive reporting of findings.
Common symptoms include irregular sleep patterns, excessive daytime sleepiness, difficulty concentrating, and impaired social or occupational functioning.