Morbid (severe) obesity with alveolar hypoventilation
ICD-10 E66.2 is a billable code used to indicate a diagnosis of morbid (severe) obesity with alveolar hypoventilation.
Morbid obesity, defined as a body mass index (BMI) of 40 or greater, is a significant health concern that can lead to various complications, including alveolar hypoventilation. This condition occurs when the body cannot adequately ventilate the alveoli, leading to insufficient oxygenation and carbon dioxide retention. Patients with morbid obesity often experience respiratory issues due to excess weight, which can compress the thoracic cavity and impair lung function. Alveolar hypoventilation can result in hypoxemia, hypercapnia, and respiratory acidosis, necessitating careful monitoring and management. Treatment typically involves weight management strategies, including dietary changes, physical activity, and in some cases, surgical interventions such as bariatric surgery. Understanding the interplay between obesity and respiratory function is crucial for effective patient care and coding accuracy.
Detailed respiratory assessments, including ABG results and pulmonary function tests.
Patients presenting with sleep apnea, chronic obstructive pulmonary disease (COPD), or respiratory distress related to obesity.
Ensure clear documentation of the relationship between obesity and respiratory conditions.
Comprehensive metabolic assessments, including glucose levels and endocrine evaluations.
Patients with obesity-related diabetes or metabolic syndrome.
Document any weight management interventions and their outcomes.
Used for patients with morbid obesity requiring surgical intervention.
Preoperative assessments, BMI calculations, and justification for surgery.
Ensure that all obesity-related comorbidities are documented.
Documenting BMI is crucial as it establishes the severity of obesity, which directly impacts the coding of E66.2. Accurate BMI calculations help differentiate between various obesity classifications and ensure appropriate treatment and reimbursement.
