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ICD-10 Guide
ICD-10 CodesG47.24

G47.24

Billable

Circadian rhythm sleep disorder, free running type

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

Code Description

ICD-10 G47.24 is a billable code used to indicate a diagnosis of circadian rhythm sleep disorder, free running type.

Key Diagnostic Point:

Circadian rhythm sleep disorder, free running type, is characterized by a misalignment between the individual's internal biological clock and the external environment, leading to irregular sleep-wake patterns. This disorder is often seen in individuals whose circadian rhythms are not synchronized with the 24-hour day-night cycle, resulting in sleep episodes that occur at varying times. Patients may experience insomnia, excessive daytime sleepiness, and difficulty maintaining a regular sleep schedule. The free running type is particularly common among individuals who are blind, as they lack light cues that help regulate circadian rhythms. Diagnosis typically involves a thorough sleep history, sleep diaries, and may include polysomnography to assess sleep architecture and patterns. Treatment options may include light therapy, melatonin supplementation, and behavioral interventions aimed at stabilizing sleep patterns. Understanding this disorder is crucial for effective management and improving the quality of life for affected individuals.

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
  • Requirement for objective sleep study results

Audit Risk Factors

  • Inadequate documentation of sleep history
  • Failure to include results from sleep studies
  • Misdiagnosis due to symptom overlap with other disorders
  • Lack of treatment plan documentation

Specialty Focus

Medical Specialties

Sleep Medicine

Documentation Requirements

Detailed sleep history, results from polysomnography, treatment plans, and follow-up notes.

Common Clinical Scenarios

Patients presenting with irregular sleep patterns, excessive daytime sleepiness, and difficulty adhering to a sleep schedule.

Billing Considerations

Ensure all diagnostic criteria are met and documented, including the impact of the disorder on daily functioning.

Neurology

Documentation Requirements

Neurological assessments, sleep history, and any comorbid neurological conditions.

Common Clinical Scenarios

Patients with neurological disorders that may affect sleep patterns, such as Parkinson's disease or multiple sclerosis.

Billing Considerations

Consider the interplay between neurological conditions and circadian rhythm disorders.

Coding Guidelines

Inclusion Criteria

Use G47.24 When
  • According to the official coding guidelines, G47
  • 24 should be used when the free running type of circadian rhythm sleep disorder is specifically diagnosed
  • It is essential to document the patient's symptoms, history, and any diagnostic tests performed

Exclusion Criteria

Do NOT use G47.24 When
  • Exclusion criteria include other sleep disorders that may better explain the symptoms

Related ICD-10 Codes

Related CPT Codes

95810CPT Code

Polysomnography, sleep study

Clinical Scenario

Used to confirm the diagnosis of circadian rhythm sleep disorder.

Documentation Requirements

Results of the sleep study must be documented, including sleep architecture and any observed abnormalities.

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 G47.24, which helps in better tracking and management of these conditions. It provides a clearer framework for understanding the complexities of circadian rhythm disorders.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sleep disorders, including G47.24, which helps in better tracking and management of these conditions. It provides a clearer framework for understanding the complexities of circadian rhythm disorders.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sleep disorders, including G47.24, which helps in better tracking and management of these conditions. It provides a clearer framework for understanding the complexities of circadian rhythm disorders.

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 circadian rhythm sleep disorder, free running type?

Common symptoms include irregular sleep patterns, excessive daytime sleepiness, insomnia, and difficulty maintaining a consistent sleep schedule.