ICD-9 coding table* | Clinical documentation of diagnosis: Code first |
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278.01 Morbid obesity 278.02 Overweight 278.03 Obesity hypoventilation syndrome | T43.015 Adverse affects of tricyclic antidepressants E66.1 Drug-induced obesity |
This suggests that obesity counteracts the promotive effects of menopause on IHD. On the other hand, although obesity is not a direct risk factor for IHD, 37, 38 it causes elevated blood pressure 39 and hypercholesterolemia 40 and, therefore, can be deemed an indirect coronary risk factor.
The morbidly obese subjects were also more likely to meet diagnostic criteria for one or more personality disorders. CONCLUSIONS: Substantial psychopathology exists in morbidly obese individuals requesting gastroplasty, a finding that has important clinical implications.
The EEOC’s position that morbid obesity is a “disability” under the ADA may well find support in the ADA Amendments Act of 2008 (ADAAA). The ADAAA retains the ADA’s basic definition of “disability” as an impairment that substantially limits one or more major life activities, a record of such impairment, or being regarded as having such an impairment.
ICD-10 code E66. 2 for Morbid (severe) obesity with alveolar hypoventilation is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
Obesity hypoventilation syndrome (OHS; "pickwickian syndrome") exists when an individual with obesity (body mass index [BMI] >30 kg/m2) has awake alveolar hypoventilation (arterial carbon dioxide tension [PaCO2] >45 mmHg) which cannot be attributed to other conditions (eg, neuromuscular disease).
ICD-10 code G47. 35 for Congenital central alveolar hypoventilation syndrome is a medical classification as listed by WHO under the range - Diseases of the nervous system .
Collapse Section. Congenital central hypoventilation syndrome (CCHS) is a disorder that affects normal breathing. People with this disorder take shallow breaths (hypoventilate), especially during sleep, resulting in a shortage of oxygen and a buildup of carbon dioxide in the blood.
OHS is typically diagnosed during an episode of acute-on-chronic hypercapnic respiratory failure or when symptoms lead to pulmonary or sleep consultation in stable conditions. The diagnosis is firmly established after arterial blood gases and a sleep study.
The classic features of obesity hypoventilation syndrome (OHS) are obesity and daytime hypercapnia. The differences between OHS and obstructive sleep apnoea (OSA) are that the former has: Longer and more continuous episodes of hypoventilation overnight (there may or may not be upper airway obstruction).
ICD-Code E66* is a non-billable ICD-10 code used for healthcare diagnosis reimbursement of Overweight and Obesity. Its corresponding ICD-9 code is 278.
Morbid (severe) obesity with alveolar hypoventilation 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM E66. 2 became effective on October 1, 2021. This is the American ICD-10-CM version of E66.
Overweight – BMI 25.0-29.9. Class 1 – BMI 30.0-34.9. Class 2 – BMI 35.0-39.9.
Diagnosis is usually made by the clinician's awareness that alveolar hypoventilation is often associated with certain medical disorders. Investigations include arterial blood gas analysis, pulmonary function tests, measurement of respiratory muscle strength, and an overnight polysomnogram.
Respiratory acidosis involves a decrease in respiratory rate and/or volume (hypoventilation). Common causes include impaired respiratory drive (eg, due to toxins, CNS disease), and airflow obstruction (eg, due to asthma, COPD [chronic obstructive pulmonary disease], sleep apnea, airway edema).
Hyperventilation is when you breathe too fast and exhale more than you take in. This results in lower levels of carbon dioxide in the blood, which is the opposite of hypoventilation, during which your body cannot effectively remove carbon dioxide.
Weight loss treatments – Losing weight can reverse obesity hypoventilation syndrome. In some instances, bariatric (weight loss) surgery may be an option.
What are the symptoms of central hypoventilation syndrome?Shallow breathing during sleep.Bluish skin discoloration during sleep in the fingers and/or toes.Seizures during sleep.Heart abnormalities.Cognitive difficulties, or difficulty thinking or completing basic tasks.
The symptoms of hypoventilation vary depending on the severity of the condition....Respiratory Depression SymptomsLethargy and tiredness.Daytime sleepiness.Slow and shallow breathing.Depression.Shortness of breath.
The mainstay of treatment in OHS is to provide breathing support, often through the use of continuous positive airway pressure (CPAP) or bilevel. These devices generate a pressurized flow of air that can keep the upper airway from collapsing during sleep.
Obesity hypoventilation syndrome (also known as Pickwickian syndrome) is a condition in which severely overweight people fail to breathe rapidly enough or deeply enough, resulting in low blood oxygen levels and high blood carbon dioxide (CO2) levels.
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code E66.2. Click on any term below to browse the alphabetical index.
This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 278.03 was previously used, E66.2 is the appropriate modern ICD10 code.
A person is considered obese if they have a body mass index (bmi) of 30 or more. Obesity means having too much body fat. It is different from being overweight, which means weighing too much. The weight may come from muscle, bone, fat and/or body water.
Obesity occurs over time when you eat more calories than you use. The balance between calories-in and calories-out differs for each person. Factors that might tip the balance include your genetic makeup, overeating, eating high-fat foods and not being physically active.
Q87.11) Clinical Information. A condition marked by an abnormally high, unhealthy amount of body fat. A disorder characterized by having a high amount of body fat. A status with body weight that is grossly above the acceptable or desirable weight, usually due to accumulation of excess fats in the body.
Being obese increases your risk of diabetes, heart disease, stroke, arthritis and some cancers. If you are obese, losing even 5 to 10 percent of your weight can delay or prevent some of these diseases. Codes. E66 Overweight and obesity. E66.0 Obesity due to excess calories.