Hypoxemia
ICD-10 R09.02 is a billable code used to indicate a diagnosis of hypoxemia.
Hypoxemia refers to an abnormally low level of oxygen in the blood, specifically in the arterial blood. It is a critical condition that can lead to significant morbidity and mortality if not promptly addressed. Symptoms may include shortness of breath, rapid breathing, confusion, cyanosis (bluish discoloration of the skin), and increased heart rate. Hypoxemia can result from various underlying conditions such as chronic obstructive pulmonary disease (COPD), pneumonia, pulmonary embolism, and heart failure. Laboratory findings often include arterial blood gas analysis showing low partial pressure of oxygen (PaO2) and potentially elevated carbon dioxide levels (PaCO2). The clinical context is essential for diagnosis, as hypoxemia can be acute or chronic, and its management may vary based on the underlying cause. Prompt identification and treatment are crucial to prevent complications such as organ dysfunction and respiratory failure.
Detailed history and physical examination, including vital signs and oxygen saturation levels.
Patients presenting with chronic respiratory conditions, acute exacerbations, or post-operative complications.
Ensure documentation reflects the severity and duration of hypoxemia, as well as any comorbid conditions.
Acute care documentation must include immediate assessment findings, oxygen saturation, and interventions performed.
Patients with acute respiratory distress, trauma, or suspected pulmonary embolism.
Rapid assessment and documentation of the patient's response to treatment are critical for accurate coding.
Used in conjunction with hypoxemia management in patients requiring bronchodilation.
Document the indication for treatment and response to therapy.
Ensure that the procedure is linked to the diagnosis of hypoxemia.
Hypoxemia specifically refers to low oxygen levels in the blood, while hypoxia refers to low oxygen levels in tissues. Hypoxemia can lead to hypoxia, but they are not synonymous.
