Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
CPT4 code
Name of the Procedure:
Actigraphy Testing, Recording, Analysis, Interpretation, and Report
Summary
Actigraphy testing involves wearing a small, wristwatch-like device called an actigraph to measure activity levels and sleep patterns over a period of at least 72 hours to 14 consecutive days. The collected data helps in diagnosing sleep disorders and other related conditions.
Purpose
Actigraphy is used to assess and diagnose sleep disorders, monitor sleep patterns, and evaluate treatment effects. It helps in understanding sleep-wake cycles and daily activity levels, providing insights for both sleep and mood-related disorders.
Indications
- Chronic insomnia or difficulty staying asleep
- Irregular sleep-wake patterns
- Circadian rhythm sleep disorders
- Evaluating the effectiveness of treatments for sleep disorders
- Monitoring sleep patterns in patients with psychiatric or neurological conditions
Preparation
- Wear the actigraph continuously, including during sleep, unless instructed otherwise.
- Maintain regular sleep and activity logs for the duration of the test.
- No special diet or medication adjustments are usually required unless specified by your healthcare provider.
Procedure Description
- The actigraph device will be secured around your wrist, similar to wearing a watch.
- The device records your movement and activity levels continuously.
- You will maintain a sleep diary to complement the actigraphy data.
- At the end of the recording period (72 hours to 14 days), the device is returned to the clinic or healthcare provider.
- The data is analyzed to generate a detailed report on your sleep patterns and activity levels.
Tools: Actigraph device No anesthesia or sedation is required.
Duration
72 hours to 14 consecutive days of continuous recording.
Setting
Can be performed at home or in any regular daily environment; the data analysis and interpretation are done at a specialized sleep center or healthcare facility.
Personnel
- Sleep specialist or healthcare provider
- Technicians for device setup and data analysis
Risks and Complications
- Minimal risks, mostly related to potential skin irritation from the device.
- Loss or damage of the actigraph device.
- Data inaccuracies if the device is not worn continuously or logs are improperly maintained.
Benefits
- Non-invasive and easy to use.
- Provides reliable data over an extended period.
- Helps in accurate diagnosis and treatment of sleep disorders.
- Convenient as it reflects normal, everyday activity.
Recovery
No recovery time needed. Regular activities can be resumed immediately.
Alternatives
- Polysomnography (sleep study in a controlled environment): More comprehensive but requires an overnight stay in a sleep clinic.
- Sleep diaries alone: Subjective and less reliable.
- Wearable fitness trackers: Vary in accuracy and medical reliability.
Patient Experience
Patients may feel a slight inconvenience from wearing the actigraph device continuously. Generally, there is no pain or significant discomfort involved. Maintaining a sleep diary accurately is crucial for the best results.