Periodic breathing
ICD-10 R06.3 is a billable code used to indicate a diagnosis of periodic breathing.
Periodic breathing is characterized by alternating periods of hyperventilation and hypoventilation, often leading to episodes of apnea. This phenomenon can occur in various clinical contexts, including sleep disorders, neurological conditions, and metabolic disturbances. It is commonly observed in infants, particularly during sleep, but can also manifest in adults with underlying health issues. The clinical significance of periodic breathing varies; in some cases, it may be benign, while in others, it can indicate serious underlying pathology such as central nervous system disorders or respiratory failure. Diagnosis typically involves clinical observation, polysomnography, and assessment of arterial blood gases to evaluate the severity and implications of the breathing pattern. Understanding the context in which periodic breathing occurs is crucial for appropriate management and intervention.
Detailed patient history, including respiratory symptoms, neurological status, and any relevant lab findings.
Patients presenting with unexplained shortness of breath, especially in the context of chronic illness or sleep disturbances.
Ensure to document any comorbidities that may contribute to periodic breathing.
Acute assessment of respiratory status, vital signs, and immediate interventions taken.
Patients with acute respiratory distress or altered mental status presenting to the emergency department.
Rapid documentation of findings is crucial, especially in life-threatening situations.
When periodic breathing is suspected, a sleep study may be ordered.
Document the indication for the sleep study and any relevant findings.
Sleep medicine specialists should ensure comprehensive reporting of sleep study results.
Periodic breathing can indicate underlying health issues, particularly in patients with neurological or respiratory conditions. It requires careful evaluation to determine the need for intervention.
