Obesity-hypoventilation syndrome (Pickwick syndrome): Difference between revisions

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 {{ICD10 transition status
-| OldDxArticle =Sleep Apnea Syndrome| CurrentStatus = reconciled
+| OldDxArticle =Sleep Apnea Syndrome
+| CurrentStatus = reconciled
 | InitialEditorAssigned = Gail Hall
-| MinimumCombinedCodes =
 }}
 {{ICD10 dx
+| MinimumCombinedCodes =
 | ICD10 Code=E66.2
 | BugRequired=
 }}
-{{ICD10 category|Metabolic/nutrition}}
+{{ICD10 category|Respiratory}}{{ICD10 category|Sleep disorder}}
 == Additional Info ==
-https://en.wikipedia.org/wiki/Obesity_hypov
+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:
-You can include ''Obesity-hypoventilation syndrome (Pickwick syndrome)'' in admitting DX as one of the last/lowest priority admit codes to capture this problem even though it is not reason for admission.
+** demonstrated sleep apnea,
+** [[Obesity, NOS (BMI 30.0 to 39.9)]] or [[Obesity, morbid (severe, BMI gte 40)]],
+** and daytime hypercapnia not explained by other disorders (e.g. severe COPD).
-*Sleep apnea is a problem of control of breathing, not the lungs or chest wall - so not a Restrictive lung disease. Dr. Alan Garland & Dr. Dan Roberts. --TOstryzniuk 12:26, 21 December 2010 (CST
+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.
-{{discussion}}{{ICD10}}
+While we did not allow sleep apnea as a [[Comorbid Diagnosis]] in the old codes, this code will be allowed.
-* will it still not be allowed as a como?
 == Alternate ICD10s to consider coding instead or in addition ==
-*[[Obesity, NOS]]
+{{ListICD10Category | categoryName = Sleep disorder}}
-*[[Metabolic Syndrome (Syndrome X)]]
+*[[Obesity, NOS (BMI 30.0 to 39.9)]]
+*[[Obesity, morbid (severe, BMI gte 40)]]
+*[[Alkalosis]]
 == Candidate [[Combined ICD10 codes]] ==
-(put links to likely candidates coded with this one, eg. a cause for a trauma.)
+== Related CCI Codes ==
+{{Data Integrity Check List}}
 == Related Articles ==
 {{Related Articles}}
 {{ICD10 footer}}
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