R53.83 - Other fatigue

Clinical Definition

This code requires documenting periodic sleep schedule changes causing fatigue and daytime sleepiness. The disruption typically relates to travel across time zones (jet lag) or shift work sleep disorder.

Documentation Requirements

• Must specify causation:

  • Jet lag from travel across time zones OR

  • Shift work changes affecting sleep cycle

• Duration of symptoms (acute vs chronic)

• Impact on daytime functioning

• Previous sleep schedule vs new schedule

• Number of time zones crossed (for jet lag)

• Work shift details (for shift work disorder)

Common Synonyms

• Jet lag syndrome

• Time zone change syndrome

• Shift lag

• Night shift adjustment

• Rotating shift sleep problems

Coding Conflicts

Excludes1:

• Non-24-hour sleep-wake rhythm (G47.24)

• Other sleep disorders (G47.8)

• Time zone change effects NOS (R68.89)

Excludes2:

• Primary insomnia (G47.00)

• Sleep deprivation NOS (Z72.820)

Scribing.io Automation

Our AI scribe automatically detects key phrases like "time zone travel," "shift work," and "sleep schedule disruption" in clinical conversations. It maps temporal markers and sleep pattern descriptions to appropriate diagnostic criteria. The system distinguishes between acute travel-related cases and chronic work-related sleep schedule disorders based on contextual clues in the documentation.