Circadian rhythm sleep disorder, advanced sleep phase type
ICD-10 G47.22 is a billable code used to indicate a diagnosis of circadian rhythm sleep disorder, advanced sleep phase type.
Circadian rhythm sleep disorder, advanced sleep phase type (ASPS) is characterized by a persistent pattern of sleep and wakefulness that is significantly advanced compared to the societal norm. Individuals with ASPS typically fall asleep earlier in the evening and wake up very early in the morning, often feeling well-rested upon awakening. This condition can lead to difficulties in social and occupational functioning, as the individual's sleep schedule may not align with typical daytime activities. ASPS is often seen in older adults but can occur in younger individuals as well. The disorder is distinct from other sleep disorders such as insomnia or sleep apnea, as it primarily involves a misalignment of the internal biological clock with the external environment. Diagnosis is typically made through clinical evaluation and may be supported by sleep studies that assess sleep patterns and circadian rhythms. Treatment options may include light therapy, melatonin supplementation, and behavioral interventions aimed at gradually shifting the sleep-wake cycle.
Comprehensive sleep history, sleep study results, and treatment plans.
Patients presenting with early morning awakenings and difficulty staying awake in the evening.
Consideration of comorbid conditions such as depression or anxiety that may affect sleep.
Assessment of mood disorders that may influence sleep patterns.
Patients with mood disorders presenting with altered sleep-wake cycles.
Need to differentiate between primary sleep disorders and those secondary to psychiatric conditions.
Used to confirm diagnosis of ASPS through sleep pattern analysis.
Detailed report of sleep study findings, including sleep architecture and timing.
Sleep specialists should ensure comprehensive interpretation of sleep data.
The primary symptom is a consistent pattern of falling asleep much earlier than the societal norm and waking up very early in the morning, often feeling well-rested.
