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ICD-10 Guide
ICD-10 CodesG47.25

G47.25

Billable

Circadian rhythm sleep disorder, jet lag type

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

Code Description

ICD-10 G47.25 is a billable code used to indicate a diagnosis of circadian rhythm sleep disorder, jet lag type.

Key Diagnostic Point:

Circadian rhythm sleep disorder, jet lag type, is a condition characterized by sleep disturbances that occur when an individual's internal biological clock is misaligned with the external environment, particularly following rapid travel across multiple time zones. This misalignment leads to symptoms such as insomnia, excessive daytime sleepiness, fatigue, and difficulty concentrating. The disorder is most commonly experienced by travelers who cross several time zones, resulting in a temporary disruption of their sleep-wake cycle. The symptoms can vary in severity and duration, often improving as the individual adjusts to the new time zone. Diagnosis typically involves a thorough clinical history, including travel patterns and sleep habits, and may be supported by sleep studies to assess sleep architecture and disturbances. Treatment options include behavioral strategies, such as gradual adjustment of sleep schedules, and pharmacological interventions, such as melatonin supplementation, to help realign the circadian rhythm. Understanding the nuances of this disorder is essential for effective management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptom presentation among patients
  • Need for accurate travel history documentation
  • Potential overlap with other sleep disorders
  • Requirement for comprehensive clinical evaluation

Audit Risk Factors

  • Inadequate documentation of travel history
  • Failure to document symptom duration and severity
  • Misclassification with other sleep disorders
  • Lack of supporting evidence for treatment decisions

Specialty Focus

Medical Specialties

Sleep Medicine

Documentation Requirements

Detailed sleep history, including travel patterns and sleep diary entries.

Common Clinical Scenarios

Patients presenting with sleep disturbances after long-haul flights.

Billing Considerations

Consideration of co-existing sleep disorders and their impact on treatment.

Primary Care

Documentation Requirements

Comprehensive patient history and physical examination findings.

Common Clinical Scenarios

Patients reporting fatigue and sleep issues after international travel.

Billing Considerations

Awareness of the patient's travel history and lifestyle factors affecting sleep.

Coding Guidelines

Inclusion Criteria

Use G47.25 When
  • According to ICD
  • 10 guidelines, G47
  • 25 should be used when the primary issue is related to jet lag symptoms following travel
  • It is important to document the duration of symptoms and any relevant travel history

Exclusion Criteria

Do NOT use G47.25 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 evaluate sleep architecture in patients with suspected sleep disorders.

Documentation Requirements

Detailed sleep history and indication for the study.

Specialty Considerations

Sleep specialists should ensure that the study is justified based on clinical symptoms.

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 G47.25, which helps in better tracking and management of circadian rhythm disorders. This specificity aids in research and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sleep disorders, including G47.25, which helps in better tracking and management of circadian rhythm disorders. This specificity aids in research and treatment planning.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Academy of Sleep Medicine

Coding & Billing References

  • •
    American Academy of Sleep Medicine

Frequently Asked Questions

What are the primary symptoms of G47.25?

The primary symptoms include insomnia, excessive daytime sleepiness, fatigue, and difficulty concentrating, particularly following travel across multiple time zones.