" /> Obesity hypoventilation syndrome - CISMeF





ICD-11 code : 7A42.0;

Preferred Label : Obesity hypoventilation syndrome;

ICD-11 definition : Obesity hypoventilation syndrome is characterised by obesity (in adults, Body-Mass-Index 30 kg/m²) and daytime hypercapnia indicated by arterial partial pressure of carbon dioxide (PaCO2) 45 mm Hg that cannot be fully attributed to an underlying cardiopulmonary or neurologic disease. Hypercapnia worsens during sleep and is often associated with severe arterial oxygen desaturation. Obstructive sleep apnoea is also present in the majority of cases and should be diagnosed in addition to obesity hypoventilation. Note: A definitive diagnosis requires demonstration of daytime hypercapnia and objective evidence based on polysomnography, with carbon dioxide (CO2) monitoring (by arterial, end-tidal or transcutaneous measures).;

ICD-11 synonym : OHS - [obesity hypoventilation syndrome]; alveolar hypoventilation syndrome; cardiopulmonary obesity syndrome; alveolus hypoventilation syndrome; Pickwickian syndrome; Extreme obesity with alveolar hypoventilation with Body-Mass-Index unspecified;

ICD-11 acronym : OHS;

ICD-11 inclusion : Pickwickian syndrome;

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Obesity hypoventilation syndrome is characterised by obesity (in adults, Body-Mass-Index 30 kg/m²) and daytime hypercapnia indicated by arterial partial pressure of carbon dioxide (PaCO2) 45 mm Hg that cannot be fully attributed to an underlying cardiopulmonary or neurologic disease. Hypercapnia worsens during sleep and is often associated with severe arterial oxygen desaturation. Obstructive sleep apnoea is also present in the majority of cases and should be diagnosed in addition to obesity hypoventilation. Note: A definitive diagnosis requires demonstration of daytime hypercapnia and objective evidence based on polysomnography, with carbon dioxide (CO2) monitoring (by arterial, end-tidal or transcutaneous measures).

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20/12/2025


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