Circadian rhythm sleep disorder, shift work type
ICD-10 G47.26 is a billable code used to indicate a diagnosis of circadian rhythm sleep disorder, shift work type.
Circadian rhythm sleep disorder, shift work type, is a condition characterized by a misalignment between an individual's internal biological clock and their external environment, particularly due to irregular work hours. This disorder is commonly seen in individuals who work night shifts or rotating shifts, leading to difficulties in maintaining a regular sleep-wake cycle. Symptoms may include insomnia, excessive daytime sleepiness, fatigue, and impaired cognitive function. The condition can significantly impact quality of life, work performance, and overall health. Diagnosis typically involves a thorough clinical history, sleep diaries, and may include polysomnography or actigraphy to assess sleep patterns. Treatment options often focus on behavioral strategies, such as sleep hygiene education, light therapy, and, in some cases, pharmacological interventions to help realign the circadian rhythm. Understanding the nuances of this disorder is crucial for effective management and coding.
Detailed sleep history, including work schedule, sleep patterns, and any comorbid conditions.
Patients presenting with excessive daytime sleepiness and insomnia related to shift work.
Consideration of other sleep disorders that may coexist, such as sleep apnea.
Documentation of work-related factors contributing to sleep disturbances.
Workers experiencing sleep issues due to rotating shifts or night shifts.
Assessment of workplace policies and their impact on employee health.
Used to evaluate sleep architecture in patients suspected of having circadian rhythm disorders.
Document the indication for the sleep study and any prior treatments attempted.
Sleep specialists should ensure comprehensive sleep history is included.
The primary cause of G47.26 is the misalignment of the circadian rhythm due to irregular work hours, particularly in shift work settings.
Treatment may include behavioral strategies such as sleep hygiene education, light therapy, and pharmacological interventions to help realign the circadian rhythm.
