Query Using consultant documentation and Resp failure
Pt seen inpatient by PCP who documented morbidly obese patient and having severe obstructive sleep apnea with possible obesity hypo ventilation based on severe hypoxemia. Queried hospitalist for morbid severe obesity with alveolar hypoventilation. ( included this Md assessment) MD Response was untreated obstructive sleep apnea with severe hypoxic respiratory failure at night.
My question:1. Can I use the PCP diagnosis? if not do I query if it is acute or chronic respiratory failure?