G47.23 Circadian rhythm sleep disorder, irregular sleep wake type

The ICD-10-CM code for Circadian rhythm sleep disorder, irregular sleep wake type is G47.23 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

6: Diseases of the nervous system (G00-G99)

Section

G40-G47: Episodic and paroxysmal disorders (G40-G47)

Category G47

53 codes (43 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to G47.23:

• Pattern, sleep-wake, irregular
• Irregular, irregularity › sleep-wake pattern (rhythm)
• Disorder (of) › sleep › circadian rhythm › irregular sleep wake type

Inclusion Terms

• Irregular sleep-wake pattern

U.S. Hospital Utilization

• An estimated 120 U.S. inpatient stays in 2023 included G47.23 among the documented diagnoses.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Dominant/nondominant side (TOC entry)

a. Dominant/nondominant side ................................................................................................. 45

Pain - Category G89 (TOC entry)

b. Pain - Category G89.............................................................................................................. 45

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)