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Hypoxemia

ICD10CM code

Name of the Condition

  • Hypoxemia
  • Technical term: Low blood oxygen levels
  • ICD-10 Code: R09.02

Summary

Hypoxemia is a medical condition characterized by an abnormally low concentration of oxygen in the blood, specifically in the arteries. This condition can lead to tissue and organ dysfunction due to insufficient oxygen supply.

Causes

  • Respiratory disorders such as chronic obstructive pulmonary disease (COPD), asthma, or pneumonia
  • Heart problems including congenital heart defects or heart failure
  • High altitudes where oxygen levels are naturally lower
  • Lung conditions such as pulmonary embolism or acute respiratory distress syndrome (ARDS)

Risk Factors

  • Smoking or exposure to secondhand smoke
  • Chronic lung diseases like COPD or asthma
  • Living or traveling to high-altitude regions
  • Pre-existing cardiovascular diseases
  • Obstructive sleep apnea

Symptoms

  • Shortness of breath (dyspnea)
  • Rapid breathing (tachypnea)
  • Cyanosis (bluish color of the skin, lips, or nails)
  • Confusion or disorientation
  • Restlessness or anxiety
  • Fatigue and weakness

Diagnosis

  • Arterial blood gas (ABG) test to measure oxygen concentration in the blood
  • Pulse oximetry to measure oxygen saturation levels
  • Chest X-ray or CT scan to identify underlying causes
  • Pulmonary function tests for lung function assessment

Treatment Options

  • Oxygen therapy to increase blood oxygen levels
  • Treating underlying conditions such as infections or asthma
  • Medications, including bronchodilators or corticosteroids, to improve lung function
  • Mechanical ventilation in severe cases requiring respiratory support

Prognosis and Follow-Up

  • Prognosis depends on the underlying cause and severity of hypoxemia
  • Regular monitoring is crucial for managing chronic conditions causing hypoxemia
  • Early detection and management can prevent complications and improve quality of life

Complications

  • Organ damage due to prolonged lack of oxygen
  • Respiratory or cardiac arrest in critical cases
  • Worsening of underlying disease conditions

Lifestyle & Prevention

  • Avoid smoking and exposure to pollutants
  • Engage in regular physical activity to strengthen lung capacity
  • Manage chronic conditions effectively with medical advice
  • Consider acclimatization practices when traveling to high altitudes

When to Seek Professional Help

  • Sudden and severe shortness of breath or chest pain
  • Cyanosis or noticeable changes in skin color
  • Persistent confusion or altered mental state
  • Weakness or fatigue that doesn't improve

Additional Resources

Tips for Medical Coders

  • Confirm the presence of hypoxemia with documented clinical findings or tests
  • Avoid confusion with similar conditions such as hypoxia, which refers to low oxygen levels in tissues rather than blood
  • Ensure all underlying causes or related diagnoses are accurately coded alongside hypoxemia

Medical Policies and Guidelines for Hypoxemia

Related policies from health plans

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