Obesity-hypoventilation syndrome (Pickwick syndrome): Difference between revisions
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*The diagnosis is generally made based on: | *The diagnosis is generally made based on: | ||
** demonstrated sleep apnea, | ** demonstrated sleep apnea, | ||
** [[Obesity, NOS (BMI 30.0 to | ** [[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). | ** and daytime hypercapnia not explained by other disorders (e.g. severe COPD). | ||
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== 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 (BMI 30.0 to | *[[Obesity, NOS (BMI 30.0 to 39.9)]] | ||
*[[Obesity, morbid (severe, BMI gte 40)]] | *[[Obesity, morbid (severe, BMI gte 40)]] | ||
*[[Alkalosis]] | *[[Alkalosis]] |
Revision as of 09:38, 2018 May 30
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: | |
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 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.
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
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