ICD-10 Coding for Obesity Hypoventilation Syndrome(E66.2)
Complete ICD-10-CM coding and documentation guide for Obesity Hypoventilation Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Obesity Hypoventilation Syndrome
Key Information: ICD-10 code for obesity hypoventilation syndrome
Essential facts and insights about Obesity Hypoventilation Syndrome
Primary ICD-10-CM Code for obesity hypoventilation syndrome
Decision Criteria
clinical Criteria
- BMI ≥30 with PaCO₂ >45 mmHg
documentation Criteria
- Explicit mention of 'morbid obesity with alveolar hypoventilation'
Applicable To
- Obesity hypoventilation syndrome
Excludes
- Obesity due to excess calories (E66.01)
Clinical Validation Requirements
- BMI ≥30
- PaCO₂ >45 mmHg while awake
- Sleep study showing sleep-disordered breathing
Code-Specific Risks
- Misuse when 'morbid obesity' is not documented despite high BMI.
Coding Notes
- Ensure documentation explicitly links obesity to hypoventilation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Obesity Hypoventilation Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E66.2.
Impact
Clinical: Misrepresentation of patient's condition severity., Regulatory: Potential audit failure., Financial: Loss of appropriate reimbursement.
Mitigation Strategy
Educate providers on documentation requirements., Implement documentation checklists.
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation specifies 'morbid obesity with alveolar hypoventilation'.
Impact
Inadequate documentation of 'morbid obesity' despite high BMI.
Mitigation Strategy
Regular audits and provider education.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Obesity Hypoventilation Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Obesity Hypoventilation Syndrome
Use these documentation templates to ensure complete and accurate documentation for Obesity Hypoventilation Syndrome. These templates include all required elements for proper coding and billing.
Pulmonary evaluation for suspected OHS
Specialty: PulmonologyRequired Elements
- BMI
- ABG results
- Sleep study findings
- Symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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