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 (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). | *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. | ||
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 == | ||
Revision as of 16:08, 11 April 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.
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
| Sleep disorder codes: |
Candidate Combined ICD10 codes
Related CCI Codes
Related Articles
Show all ICD10 Subcategories