Circadian rhythm sleep disorder, delayed sleep phase type
ICD-10 G47.21 is a billable code used to indicate a diagnosis of circadian rhythm sleep disorder, delayed sleep phase type.
Circadian rhythm sleep disorder, delayed sleep phase type (DSPD) is a condition characterized by a significant misalignment between an individual's internal biological clock and the external environment, particularly in relation to sleep-wake cycles. Individuals with DSPD typically experience difficulty falling asleep at conventional times, leading to late-night sleep onset and difficulty waking up in the morning. This disorder is often associated with chronic insomnia and can significantly impair daily functioning, affecting work, social interactions, and overall quality of life. The condition is more prevalent in adolescents and young adults but can occur at any age. Diagnosis is primarily based on clinical history, sleep patterns, and may involve sleep studies to assess sleep architecture and circadian rhythms. Treatment options include behavioral interventions, light therapy, and, in some cases, pharmacotherapy to help realign the sleep-wake cycle with societal norms.
Detailed sleep history, sleep study results, treatment plans, and follow-up notes.
Patients presenting with chronic insomnia, difficulty waking up, and social or occupational impairment due to sleep issues.
Accurate interpretation of polysomnography results and correlation with clinical symptoms are crucial for proper coding.
Assessment of mood disorders, anxiety levels, and their impact on sleep patterns.
Patients with comorbid psychiatric conditions presenting with sleep disturbances.
Documentation should include the relationship between psychiatric symptoms and sleep issues.
Used to evaluate sleep architecture and diagnose sleep disorders, including DSPD.
Results of the sleep study must be documented, including sleep stages and any abnormalities.
Sleep specialists should ensure that the study correlates with clinical symptoms for accurate coding.
The primary treatment for delayed sleep phase disorder includes behavioral interventions such as sleep hygiene education, light therapy to advance the sleep-wake cycle, and in some cases, melatonin supplementation to help regulate sleep timing.
