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{{ICD10 transition status | OldDxArticle = | CurrentStatus = reconciled | InitialEditorAssigned = Stephanie Cortilet }} == Additional Info == *This is a specific '''cause''' of acute (or occasionally subacute) renal disorder/insufficiency. *The usual marker for this entity is elevated serum urea and/or elevated serum creatinine PLUS an elevated urea:creatinine ratio. The normal value of this ratio (in the units used here) is 44, so a ratio > 66 is suggestive of a pre-renal state. While pre-renal patients are usually intravascularly depleted, this is not universally the case; any situation in which renal perfusion is reduced can give a pre-renal state, even without volume depletion. An example is bilateral renal artery stenosis. *If the patient qualifies, one could/should also code '''[[Kidney, acute renal failure NOS]]''' *Do not use this code if the patient has a '''pre-existing''' diagnosis of: '''[[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]]''' {{ICD10 Guideline Signs Symptoms Test Results not needed when cause known}} {{ICD10 Guideline repeated events}} == Alternate ICD10s to consider coding instead or in addition == {{ListICD10Category | categoryName = Renal failure}} {{ListICD10Category | categoryName = Chronic kidney disease}} *[[Dehydration (volume depletion, hypovolemia)]] == Candidate [[Combined ICD10 codes]] == == Related CCI Codes == {{Data Integrity Check List}} == Related Articles == {{Related Articles}} {{ICD10 footer}} {{EndPlaceHolder}}
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