Obesity-hypoventilation syndrome (Pickwick syndrome): Difference between revisions
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{{ICD10 category|Respiratory}} {{ICD10 category|Sleep disorder}} | {{ICD10 category|Respiratory}}{{ICD10 category|Sleep disorder}} | ||
== 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 39.9)]] 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. | ||
While we did not allow sleep apnea as a [[Comorbid Diagnosis]] in the old codes, this code will 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 39.9)]] | ||
*[[ | *[[Obesity, morbid (severe, BMI gte 40)]] | ||
*[[ | *[[Alkalosis]] | ||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
== Related | == Related CCI Codes == | ||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | {{ICD10 footer}} | ||
{{EndPlaceHolder}} | {{EndPlaceHolder}} | ||