ICD-10 Coding for Shift Work Disorder(G47.26)
Complete ICD-10-CM coding and documentation guide for Shift Work Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Shift Work Disorder
G47.20-G47.29Primary Range
Circadian rhythm sleep disorders
This range includes disorders related to disruptions in the sleep-wake cycle, including shift work disorder.
Key Information: ICD-10 code for shift work disorder
Essential facts and insights about Shift Work Disorder
Primary ICD-10-CM Code for shift work disorder
Decision Criteria
clinical Criteria
- Symptoms persist for at least 3 months and are linked to shift work.
documentation Criteria
- Detailed work schedule and symptom description are documented.
Applicable To
- Shift work disorder
Clinical Validation Requirements
- Symptoms of insomnia or excessive sleepiness linked to shift work schedule for at least 3 months
- Actigraphy or sleep logs showing disrupted sleep patterns
- Exclusion of other sleep disorders such as sleep apnea
Code-Specific Risks
- Incorrectly coding general insomnia or hypersomnia without linking to shift work
- Omitting documentation of the work schedule and symptom duration
Coding Notes
- Ensure documentation includes specific work schedule and symptom correlation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Problems related to shift work
Z56.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Shift Work Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G47.26.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Use specific language to describe symptoms and work schedule., Ensure documentation is thorough and complete.
Impact
Reimbursement: May lead to claim denials if not properly linked to shift work., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate representation of patient condition.
Mitigation Strategy
Ensure symptoms are linked to shift work and use G47.26.
Impact
Failure to document symptoms persisting for at least 3 months.
Mitigation Strategy
Ensure all documentation includes symptom duration and work schedule details.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Shift Work Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Shift Work Disorder
Use these documentation templates to ensure complete and accurate documentation for Shift Work Disorder. These templates include all required elements for proper coding and billing.
Documenting shift work disorder for a nurse working night shifts
Specialty: Occupational MedicineRequired Elements
- Work schedule details
- Symptom description and duration
- Exclusion of other disorders
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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