icd-10 code for obesity hypoventilation syndrome

What is the ICD-10 code for hypoventilation syndrome?

Congenital central alveolar hypoventilation syndrome G47. 35 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is obesity hypoventilation syndrome?

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).

Is obesity hypoventilation syndrome a restrictive lung disease?

Some conditions causing restrictive lung disease are: Interstitial lung disease, such as idiopathic pulmonary fibrosis. Sarcoidosis, an autoimmune disease. Obesity, including obesity hypoventilation syndrome.Feb 5, 2022

Is obesity hypoventilation syndrome obstructive or restrictive?

Approximately 90% of SDB in obesity hypoventilation syndrome is Obstructive sleep apnea (OSA), with the remaining 10% of patients manifesting sleep-related hypoventilation characterized by hypoxemia which is unrelated with obstructive events of OSA – namely obstructive apneas or hypopneas [5, 6].

How does obesity cause obesity hypoventilation syndrome?

It is not clear why obesity hypoventilation syndrome affects some people who have obesity and not others. Extra fat on your neck, chest, or across your abdomen can make it difficult to breathe deeply and may produce hormone that affect your body's breathing patterns.Mar 24, 2022

How is obesity hypoventilation syndrome diagnosed?

The traditional criteria for OHS diagnosis include the presence of daytime alveolar hypoventilation (awake, sea-level, arterial PCO2>45 mm Hg) among patients with BMI ≥30 kg/m2 in the absence of other causes of hypoventilation, and incorporating finger pulse oximetry and serum bicarbonate screening will likely aid in ...Jul 21, 2014

How is obesity hypoventilation syndrome treated?

How is OHS treated? Treatment for OHS will include weight loss and treating your sleep-related breathing disorder. Sometimes, weight loss alone corrects many of the symptoms and problems such as obstructive sleep apnea. Therefore, the first approach to treating your OHS is weight loss.

Is obesity obstructive or restrictive?

Conclusions. Obesity causes mechanical compression of the diaphragm, lungs, and chest cavity, which can lead to restrictive pulmonary damage.Jul 12, 2016

Is atelectasis restrictive or obstructive?

Atelectasis occurs from a blocked airway (obstructive) or pressure from outside the lung (nonobstructive). General anesthesia is a common cause of atelectasis. It changes your regular pattern of breathing and affects the exchange of lung gases, which can cause the air sacs (alveoli) to deflate.Sep 5, 2018

How is hypoventilation diagnosis?

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.Oct 16, 2019

What is the difference between obstructive sleep apnea and obesity hypoventilation syndrome?

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).Feb 15, 2016

What is the ICD-9 code for obesity?

The code for all of these is E66.2. It doesn’t matter what the words in the code description are. In ICD-9, nobody complained or balked, not because the term “morbid obesity” wasn’t in the title of the code – because that was the code for the disease. It’s still the code for the disease.

Can you have OHS without morbid obesity?

Always a problem with overdocumentation when no criteria are met. Patients can have OHS without meeting morbid obesity criteria so long as the restrictive lung disease from the patient's obesity, whatever level it is, has caused sufficient lung issues to lead to chronic cor pulmonale or pulmonary hypertension. If the patient does have this, then it should be eligible for the code. If there is not sufficient evidence in the medical record, then I'd ask the doc for the evidence that links chronic pulmonary heart disease to the obesity state. Sometimes a patient may have lost considerable weight with diet and exercise or surgery or unintended weight loss due to disease, but the cardiopulmonary effect still exists. Gotta check all of these with the records and get clarification from the doc if the evidence isn't there. Let us know what you find.

What is the title of a code?

The title of a code is the bane of valid coding. Coding professionals are frequently rigid regarding coding a word rather than coding a disease because they are trained that way. OHS is the terminology in the medical world. There are many other examples of this in the coding world and in the encoder software.