Obesity-hypoventilation syndrome (Pickwick syndrome): Difference between revisions
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== Additional Info == | == Additional Info == | ||
Obesity-hypoventilation syndrome (Pickwick syndrome) is a subset of [[Sleep apnea, obstructive]], in which in addition to having apnea with episodes of [[Hypercapnia (hypercarbia)]] during sleep. These people also have hypercapnia while ''awake''. As a result, these chronically hypercapnic patients generally have compensatory metabolic [[Alkalosis]] (i.e. high serum bicarbonate to counteract the effect of the high pCO2 on blood pH). | Obesity-hypoventilation syndrome (Pickwick syndrome) is a subset of [[Sleep apnea, obstructive]], in which in addition to having apnea with episodes of [[Hypercapnia (hypercarbia)]] during sleep. These people also have hypercapnia while ''awake''. As a result, these chronically hypercapnic patients generally have compensatory metabolic [[Alkalosis]] (i.e. high serum bicarbonate to counteract the effect of the high pCO2 on blood pH). | ||
*The diagnosis is generally made based on: demonstrated sleep apnea, [[Obesity, NOS | *The diagnosis is generally made based on: demonstrated sleep apnea, [[Obesity, NOS (BMI 30.0 to 30.9)]] or [[Obesity, morbid (severe, BMI gte 40)], and daytime hypercapnia not explained by other disorders (e.g. severe COPD). | ||
You can include Obesity-hypoventilation syndrome (Pickwick syndrome) as one of the last/lowest priority [[Admit Diagnosis]] to capture this problem even though it is not reason for admission. | You can include Obesity-hypoventilation syndrome (Pickwick syndrome) as one of the last/lowest priority [[Admit Diagnosis]] to capture this problem even though it is not reason for admission. | ||
{{ | {{DiscussTask | Old Dx [[Sleep Apnea Syndrome]] was not allowed as a [[Comorbid Diagnosis]]. Will this still not be allowed?}} | ||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
{{ListICD10Category | categoryName = Sleep disorder}} | {{ListICD10Category | categoryName = Sleep disorder}} | ||
*[[Obesity, NOS]] | *[[Obesity, NOS (BMI 30.0 to 30.9)]] | ||
*[[Obesity, morbid (severe, BMI gte 40)] | |||
*[[Alkalosis]] | *[[Alkalosis]] | ||
Revision as of 10:39, 26 March 2018
| ICD10 Diagnosis | |
| Dx: | Obesity-hypoventilation syndrome (Pickwick syndrome) |
| ICD10 code: | E66.2 |
| Pre-ICD10 counterpart: | Sleep Apnea Syndrome |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | 2019-0: Metabolic/Renal NOS, 2019-0: Renal/Metabolic NOS |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
Obesity-hypoventilation syndrome (Pickwick syndrome) is a subset of Sleep apnea, obstructive, in which in addition to having apnea with episodes of Hypercapnia (hypercarbia) during sleep. These people also have hypercapnia while awake. As a result, these chronically hypercapnic patients generally have compensatory metabolic Alkalosis (i.e. high serum bicarbonate to counteract the effect of the high pCO2 on blood pH).
- The diagnosis is generally made based on: demonstrated sleep apnea, Obesity, NOS (BMI 30.0 to 30.9) or [[Obesity, morbid (severe, BMI gte 40)], and daytime hypercapnia not explained by other disorders (e.g. severe COPD).
You can include Obesity-hypoventilation syndrome (Pickwick syndrome) as one of the last/lowest priority Admit Diagnosis to capture this problem even though it is not reason for admission.
|
Old Dx Sleep Apnea Syndrome was not allowed as a Comorbid Diagnosis. Will this still not be allowed? |
Alternate ICD10s to consider coding instead or in addition
| Sleep disorder codes: |
- Obesity, NOS (BMI 30.0 to 30.9)
- [[Obesity, morbid (severe, BMI gte 40)]
- Alkalosis
Candidate Combined ICD10 codes
Related CCI Codes
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