Kidney, acute renal failure NOS - Revision history

Ttenbergen: Moved Lisa's update to Template:ICD10 Guideline ESRD vs Acute renal failure for consolidation, replaced with transclusion of that template

2022-06-23T21:29:33Z

Moved Lisa's update to Template:ICD10 Guideline ESRD vs Acute renal failure for consolidation, replaced with transclusion of that template

← Older revision		Revision as of 16:29, 23 June 2022
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	{{ICD10 Guideline KDIGO Guidelines for Acute Renal Failure}}		{{ICD10 Guideline KDIGO Guidelines for Acute Renal Failure}}

	==ESRD ~~and~~ Acute ~~Renal Failure==~~		{{ICD10 Guideline ESRD vs Acute renal failure}}
	*As per the January 10, 2020 TASK meeting
	~~Can ESRD be both and Admit and a Comorbid diagnosis? --> Answer is YES, if it was present prior to hospital admission AND it satisfies the criteria for an Admit diagnosis.~~
	~~Can a patient have both acute~~ renal failure ~~and ESRD (Stage 5)? --> Answer is YES, with limitation:.~~
	~~If the criteria for Stage 5 is being on dialysis, then the answer is No -- this is the limitation~~
	~~But if the criteria is creatinine clearance <15 ml/min in someone NOT yet on dialysis, then YES.~~

	== Alternate ICD10s to consider coding instead or in addition ==		== Alternate ICD10s to consider coding instead or in addition ==

Lkaita at 16:51, 23 June 2022

2022-06-23T16:51:12Z

← Older revision		Revision as of 11:51, 23 June 2022
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	{{ICD10 Guideline KDIGO Guidelines for Acute Renal Failure}}		{{ICD10 Guideline KDIGO Guidelines for Acute Renal Failure}}

			==ESRD and Acute Renal Failure==
			*As per the January 10, 2020 TASK meeting
			Can ESRD be both and Admit and a Comorbid diagnosis? --> Answer is YES, if it was present prior to hospital admission AND it satisfies the criteria for an Admit diagnosis.
			Can a patient have both acute renal failure and ESRD (Stage 5)? --> Answer is YES, with limitation:.
			If the criteria for Stage 5 is being on dialysis, then the answer is No -- this is the limitation
			But if the criteria is creatinine clearance <15 ml/min in someone NOT yet on dialysis, then YES.

	== Alternate ICD10s to consider coding instead or in addition ==		== Alternate ICD10s to consider coding instead or in addition ==

Ttenbergen: Text replacement - "Renal Coding Considerations for ICD10" to "ICD10 Guideline for Renal Coding"

2021-12-30T21:31:02Z

Text replacement - "Renal Coding Considerations for ICD10" to "ICD10 Guideline for Renal Coding"

← Older revision		Revision as of 16:31, 30 December 2021
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	== Data Integrity Checks ==		== Data Integrity Checks ==
	There are a number of coding rules related to renal diagnoses, centralized info about them is in '''[[Renal Coding ~~Considerations for ICD10~~]]'''.		There are a number of coding rules related to renal diagnoses, centralized info about them is in '''[[ICD10 Guideline for Renal Coding]]'''.
	{{Data Integrity Check List}}		{{Data Integrity Check List}}

Ttenbergen: removed call to Template:ICD10 Guideline ESRD vs Acute renal failure since there are exceptions, see Chronic_kidney_disease_(end-stage_renal/kidney_disease,_ESRD),_Stage_5,_GFR_LT_15#About_.22Acute_on_Chronic_renal_failure.22

2020-02-03T22:44:14Z

removed call to Template:ICD10 Guideline ESRD vs Acute renal failure since there are exceptions, see Chronic_kidney_disease_(end-stage_renal/kidney_disease,_ESRD),_Stage_5,_GFR_LT_15#About_.22Acute_on_Chronic_renal_failure.22

← Older revision		Revision as of 17:44, 3 February 2020
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	{{ICD10 Guideline KDIGO Guidelines for Acute Renal Failure}}		{{ICD10 Guideline KDIGO Guidelines for Acute Renal Failure}}

	~~{{ICD10 Guideline ESRD vs Acute renal failure}}~~

	== Alternate ICD10s to consider coding instead or in addition ==		== Alternate ICD10s to consider coding instead or in addition ==

Ttenbergen at 22:47, 31 January 2020

2020-01-31T22:47:23Z

← Older revision		Revision as of 17:47, 31 January 2020
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	'''Excludes:'''		'''Excludes:'''
	*[[Kidney, acute tubular necrosis (ATN)]] - This code {{PAGENAME}} is, by definition, for acute renal failure that is '''"not otherwise specified" (NOS)'''. ATN is more specific, so if it is right, use it		*[[Kidney, acute tubular necrosis (ATN)]] - This code {{PAGENAME}} is, by definition, for acute renal failure that is '''"not otherwise specified" (NOS)'''. ATN is more specific, so if it is right, use it


	*Acute renal failure is an old term. Nephrologists want us to use the term Acute Kidney Injury (AKI).
	**The reason is that this entity, whatever it's called, includes the full range of levels of kidney injury from minor all the way up to complete renal shutdown needing dialysis.
	**And yet another synonym is '''Acute Renal Insufficiency''' ([[ARI]]).
	*The criteria for AKI are as follows:

	{{ICD10 Guideline KDIGO Guidelines for Acute Renal Failure}}		{{ICD10 Guideline KDIGO Guidelines for Acute Renal Failure}}

Ttenbergen at 22:15, 31 January 2020

2020-01-31T22:15:32Z

← Older revision		Revision as of 17:15, 31 January 2020
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	}}		}}
	{{ICD10 category\|Renal/urinary}}{{ICD10 category\|Renal failure}}		{{ICD10 category\|Renal/urinary}}{{ICD10 category\|Renal failure}}

			== Additional Info ==
			'''Excludes:'''
			*[[Kidney, acute tubular necrosis (ATN)]] - This code {{PAGENAME}} is, by definition, for acute renal failure that is '''"not otherwise specified" (NOS)'''. ATN is more specific, so if it is right, use it


	~~== Additional Info ==~~
	*This code is for acute renal failure that is, by definition, "not otherwise specified". Thus [[Kidney, acute tubular necrosis (ATN)]] is not included in this code, because it is a SPECIFIC type of acute renal failure.
	*Acute renal failure is an old term. Nephrologists want us to use the term Acute Kidney Injury (AKI).		*Acute renal failure is an old term. Nephrologists want us to use the term Acute Kidney Injury (AKI).
	**The reason is that this entity, whatever it's called, includes the full range of levels of kidney injury from minor all the way up to complete renal shutdown needing dialysis.		**The reason is that this entity, whatever it's called, includes the full range of levels of kidney injury from minor all the way up to complete renal shutdown needing dialysis.
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	== Candidate [[Combined ICD10 codes]] ==		== Candidate [[Combined ICD10 codes]] ==
	*Also code the cause, if known.		*Also code the cause, if known.

			== Related CCI Codes ==

	== Data Integrity Checks ==		== Data Integrity Checks ==
	There are a number of coding rules related to renal diagnoses, centralized info about them is in '''[[Renal Coding Considerations for ICD10]]'''.		There are a number of coding rules related to renal diagnoses, centralized info about them is in '''[[Renal Coding Considerations for ICD10]]'''.
	{{Data Integrity Check List}}		{{Data Integrity Check List}}

	~~== Related CCI Codes ==~~

	== Legacy Info ==		== Legacy Info ==

Ttenbergen: /* Legacy Info */

2020-01-31T22:11:06Z

Legacy Info

← Older revision		Revision as of 17:11, 31 January 2020
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	== Legacy Info ==		== Legacy Info ==
			{{Collapsable
			\| always= Legacy only
			\| full=
	We understand that the definition in the ICD10 codes is different than the definition in [[ARF (Diagnosis)]] and [[ARI]] and [[CRF - Chronic Renal Failure]] was. We are OK with that and will use the new definitions for the new codes, and the old ones for the old codes. Hopefully we can limit the amount of time where we consider both.		We understand that the definition in the ICD10 codes is different than the definition in [[ARF (Diagnosis)]] and [[ARI]] and [[CRF - Chronic Renal Failure]] was. We are OK with that and will use the new definitions for the new codes, and the old ones for the old codes. Hopefully we can limit the amount of time where we consider both.
			}}

	== Related Articles ==		== Related Articles ==

Agarland: /* Additional Info */

2019-12-11T16:41:57Z

Additional Info

← Older revision		Revision as of 11:41, 11 December 2019
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	== Additional Info ==		== Additional Info ==
			*This code is for acute renal failure that is, by definition, "not otherwise specified". Thus [[Kidney, acute tubular necrosis (ATN)]] is not included in this code, because it is a SPECIFIC type of acute renal failure.
	*Acute renal failure is an old term. Nephrologists want us to use the term Acute Kidney Injury (AKI).		*Acute renal failure is an old term. Nephrologists want us to use the term Acute Kidney Injury (AKI).
	**The reason is that this entity, whatever it's called, includes the full range of levels of kidney injury from minor all the way up to complete renal shutdown.		**The reason is that this entity, whatever it's called, includes the full range of levels of kidney injury from minor all the way up to complete renal shutdown needing dialysis.
	**And yet another synonym is '''Acute Renal Insufficiency''' ([[ARI]]).		**And yet another synonym is '''Acute Renal Insufficiency''' ([[ARI]]).
	*The criteria for AKI are as follows:		*The criteria for AKI are as follows:

Agarland at 20:06, 29 December 2018

2018-12-29T20:06:32Z

← Older revision		Revision as of 15:06, 29 December 2018
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	{{ICD10 category\|Renal/urinary}}{{ICD10 category\|Renal failure}}		{{ICD10 category\|Renal/urinary}}{{ICD10 category\|Renal failure}}

	~~{{Discuss \| who = allan \| question = renal failure task item~~
	*discussion about new rules that is too long to work in template, see page, see also [[ARF (APACHE)]]}}
	~~{{DiscussTask \|discussion about new rules that is too long to work in template, see page, see also [[ARF (APACHE)]]}}~~

	* Patients are frequently admitted with AKI as part of dx list to medicine wards. To confirm, with the move to ICD 10 are kidney failure codes available options for use on all medicine wards? [[User:Ppiche\|Pamela Piche]] 13:30, 2018 October 25 (CDT)
	** Note, all the ICD10 diagnosis codes are available in both ICU and Medicine -- there seems to have been some confusion about differential availability of diagnosis codes in ICU and Medicine, and that is no longer the case in ICD10.
	** This question doesn't relate to ICU/medicine collecting differences, but rather to the fact that the old renal failure code was meant to apply ONLY to those patients requiring dialysis. Different hospitals were not allowed to enter renal failure codes, because their peripheral hospitals did not have the capability of performing dialysis. We need to make it clear that this new ICD10 code no longer implies dialysis was initiated, unless the [[Renal dialysis care, including dialysis itself]] code is also used.
	*** Good point. This is sort of similar to how some other dx definitions and codes have changed significantly over time. But now that you say it I sure would not be able to remember what these things were. I could set up another template for the wiki to tag these, something like <nowiki>{{SignificantChangeICD10CCI \| one sentence for the change since all it needs to do is highlight this}}</nowiki>, and then have a central page to list all the pages that use the template, with that reason. And highlight it on the pages where it is written, sort of similar to the question boxes we have now. An advantage to doing this is that we could also disappear (or at least make less prominent) the template in a year or two, when this is no longer news. If we did this I would have to rely on you guys to actually place that template. If I get 2-3 volunteers then let's discuss further. Or, as a much smaller scale, we could put this on the agenda for the [[Team Meeting November 29, 2018]].

	== Additional Info ==		== Additional Info ==
	*Acute renal failure ~~(of any cause)~~ is an old term. Nephrologists want us to use the term Acute Kidney Injury (AKI).		*Acute renal failure is an old term. Nephrologists want us to use the term Acute Kidney Injury (AKI).
	**The reason is that this entity, whatever it's called, includes the full range of levels of kidney injury from minor all the way up to complete renal shutdown.		**The reason is that this entity, whatever it's called, includes the full range of levels of kidney injury from minor all the way up to complete renal shutdown.
	**And yet another synonym is '''Acute Renal Insufficiency''' ([[ARI]]).		**And yet another synonym is '''Acute Renal Insufficiency''' ([[ARI]]).
	*For any/all causes of this entity, the [http://kdigo.org/clinical_practice_guidelines/pdf/KDIGO%20AKI%20Guideline.pdf KDIGO guidelines] identify that this is present if any one or more of the following are ~~true:~~		*The criteria for AKI are as follows:
	**Increase in serum creatinine by 26 micromoles/L or more within 48 hours
	**Increase in serum creatinine to 1.5 times baseline or more within the last 7 days
	**Urine output less than 0.5 mL/kg/hour for 6 hours
	*This specific NOS code '''excludes: ~~''' [[Kidney, acute renal failure, postprocedural]]~~


	{{~~DA\|~~		{{ICD10 Guideline KDIGO Guidelines for Acute Renal Failure}}
	*I double checked with our lab values, and it looks like our EPR results are measured in micromoles/L. Using the guidelines listed above, that would mean that any patient who has a rise in creatinine over a 2 day period equal or greater to 26, would be coded as "acute renal failure NOS". For example, a patient whose creatinine rises from 120 to 150 within 48 hours, would receive this code. I feel like I am reading these instructions wrong, because this would mean a large number of patients would fall into this category.[[User:Mlagadi\|Mlagadi]] 14:01, 2018 October 16 (CDT)
	** I'll leave this for Allan to confirm, but the definition on p.19 of [http://kdigo.org/clinical_practice_guidelines/pdf/KDIGO%20AKI%20Guideline.pdf KDIGO guidelines] does indeed say so, even though it uses the cut-off 26.5 and I am not sure why we would have deviated from that.
	**AG REPLY -- yes this is correct. Again the problem is that the term Acute Renal ~~'''FAILURE''' suggests that severe renal injury is needed, and that's why the newer term AKI is better.~~ }}

	{{ICD10 Guideline ESRD vs Acute renal failure}}		{{ICD10 Guideline ESRD vs Acute renal failure}}

Ttenbergen at 04:58, 1 December 2018

2018-12-01T04:58:43Z

← Older revision		Revision as of 23:58, 30 November 2018
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	{{ICD10 category\|Renal/urinary}}{{ICD10 category\|Renal failure}}		{{ICD10 category\|Renal/urinary}}{{ICD10 category\|Renal failure}}

	{{Discuss \| who = ~~all~~ \| question = discussion about new rules that is too long to work in template, see page, see also [[ARF (APACHE)]]}}		{{Discuss \| who = allan \| question = renal failure task item
			*discussion about new rules that is too long to work in template, see page, see also [[ARF (APACHE)]]}}
	{{DiscussTask \|discussion about new rules that is too long to work in template, see page, see also [[ARF (APACHE)]]}}		{{DiscussTask \|discussion about new rules that is too long to work in template, see page, see also [[ARF (APACHE)]]}}

← Older revision		Revision as of 23:58, 30 November 2018
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	{{ICD10 category\|Renal/urinary}}{{ICD10 category\|Renal failure}}		{{ICD10 category\|Renal/urinary}}{{ICD10 category\|Renal failure}}

	{{Discuss \| who = ~~all~~ \| question = discussion about new rules that is too long to work in template, see page, see also [[ARF (APACHE)]]}}		{{Discuss \| who = allan \| question = renal failure task item
			*discussion about new rules that is too long to work in template, see page, see also [[ARF (APACHE)]]}}
	{{DiscussTask \|discussion about new rules that is too long to work in template, see page, see also [[ARF (APACHE)]]}}		{{DiscussTask \|discussion about new rules that is too long to work in template, see page, see also [[ARF (APACHE)]]}}