Obesity-hypoventilation syndrome (Pickwick syndrome)
|Dx:||Obesity-hypoventilation syndrome (Pickwick syndrome)|
|Pre-ICD10 counterpart:||Sleep Apnea Syndrome|
|APACHE Como Component:||none|
|APACHE Acute Component:||Metabolic/Renal NOS, Renal/Metabolic NOS|
|External ICD10 Documentation|
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) 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
Data Integrity Checks (SMW)