Snoring Obstructive Sleep Apnea and Treatment Animation
Snoring and sleep apnea.In normal breathing, air enters the nostrils and goes through the throat and the tracheato the lungs. In people who snore this airway is partiallyobstructed by excess tissue of the throat, such as large tonsils, large soft palate ortongue. Another common cause of obstruction is the dropping of the tongue into the throatdue to over relaxation of tongue muscles during sleep. Air currents competing throughnarrow spaces in the throat cause the soft palate essentially a piece of soft tissuehanging in the throat to vibrate. This vibration is the source of the noise we hear when someoneis snoring.
Sleep apnea happens when the airway is completelyobstructed, no air can go through and the person stops breathing. This cessation ofbreathing triggers the brain to respond by waking up the person just enough to take abreath. This repeats itself again and again during the course of the night and may resultin sleep deprivation. Snoring and mild sleep apnea may be treatedwith a mandibular advancement device. This device is designed to move the lower jaw andthe tongue slightly forward and thus making the space in the back of the throat larger.
Medical Coding Tips How To Code For Respiratory Dependency
Laureen: Alright, respiratory dependency. Alicia: And this is a very quick and easyone. Q: Could you explain how to code for respiratorydependencyé Q: I have a coding question for work, I wasconsidering if you could explain how to code for respiratory dependenceé V46.1 Should this be used only for someonewho is permanently on respiratory ventilatoré A: Yes, the answer is yes. Q: V46.2 Could this be used for someonewith a condition such as sleep apneaé
A: No, the V46.2 is for somebody who is O2dependent. Down here, most people think that if a personis on a respirator or a ventilator that they're bedbound and maybe in ICU. You think, yousee that picture of a person on machine and stuff, which is true, but in actuality a lotof people are respiratory dependent and it usually is involving quadriplegia injuriesto the spinal cord. Like this picture, this guy is actually ventilator dependent or respiratordependent, but he's in a wheelchair moving around. There was also a picture of a girlthat was going to high school but I couldn't get it to load.
Now, the other code, V46.2, dependence onsupplemental oxygen or longterm oxygen therapy that would go with somebody that had somethinglike emphysema; in other words without having O2 on at all times, their saturation levelsgo so slow that they're not getting enough oxygen. That's where you get below like 93%.Some people walk around with 94% or 95%, which have asthma and I do; for some people that'sreally bad, but for me it's not. But, if you get below 93%, if you get into the 80s that'sreally bad, and if you are consistent that way, then they may put you on oxygen. Yousee the people that walk around with those little O2 tanks, they are a V46.2 dependenton supplemental oxygen. So, it's two completely
different things. These are not first listed diagnoses, theseare V codes that go along to help paint the picture for the care of this patient. It'svery pertinent for the patient to have these codes on there. Just about every time thatthey're going to be seen, a V46.2 is going to be pertinent to their care, so that codewill be used often with them. I think that's all I put on there; it's reallypretty short and sweet. Yup, that's it. They are different, just make sure you understandthe point one is for ventilator dependent, and point 2, they're walking around with thatO2 bottle, which is a prescription by the