ARF (Diagnosis): Difference between revisions

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'''''Note''': This applies to the '''diagnosis coding''' for Acute Renal Failure only, see [[ARF (APACHE)]] for instructions on the ARF checkbox.''
{{PreICD10 dx | NewDxArticle = Kidney, acute renal failure NOS}}


{{DX tag | Renal | Medical Problem | Acute Renal Failure |
* 35000 '''Acute Renal Failure''' (Newly Dialyzed)
* 35001 - Pre Renal
* 35003 - Post Renal
* 35005 - 2nd to Drug Sensitivity/toxicity | 350** | No | 0 |'''Critical Care and Medicine''' | Currently Collected | | |}}


{{DX tag | Acute Renal Failure | (multiple) | 350 ** | CC and M | Currently Collected }}
'''''Note''': Information on this page applies to the '''old diagnosis code''' of Acute Renal Failure only; for the Apache scoring checkbox see [[ARF (APACHE)]]


==ARF - Definition for Diagnosis coding==
== Guideline ==


*'''newly dialyzed''' - which means '''new''' dialysis started during this hospital admission for a patient that was '''not''' on '''out patient''' dialysis '''prior to''' current hospital admission.
*'''newly dialyzed''' - which means '''new''' dialysis '''started during this hospital admission''' for a patient that was '''not''' on '''out patient''' dialysis '''prior to''' current hospital admission.


ARF and [[CRF - Chronic Renal Failure]] can not be coded together.
* Patient does not have [[CRF - Chronic Renal Failure]]


* The '''ARF diagnosis only applies''' if patients '''actually receive dialysis or CRRT at that location'''.  If a pt does not receive dialysis you can code [[ARI]] or [[ATN]] instead.  See [[Renal Coding Considerations (old)]]
* Acute renal failure can have a pre-renal source or a post-renal source.  Pre-renal sources are most common like shock states, low perfusion, toxic causes, etc.  Post-renal causes refer to obstructive causes of renal failure like obstructive nephropathy from blocked ureter for example.


{{Data Integrity Rules}}
* When a pt starts out in a community hospital and is given a diagnosis of ARF by the doctors, please do not code ARF unless dialysis is started there.  Code ATN or ARI instead. If the pt is transferred to another center to start dialysis, the collector there will code ARF.  When a pt with ARF from a tertiary hospital is transferred to a community hospital and no dialysis is needed there, the data collectors at the community hospital should not be coding ARF because the renal failure is resolving. They can code ARI. This is my understanding.  Trish please let me know if this is the way you also see it.  I believe the above information for integrity checks is wrong.  --[[User:LKolesar|LKolesar]] 13:41, 20 July 2011 (CDT)
===ARF and ICU TISS ===
*TISS 53 to 55: Don't forget to cross check the TISS form with the diagnosis and visa versa


===ARF & TISS intergrity checks===
== Data Integrity Checks ==
* have TISS 53, 54, 55 but no Renal failure DX (350, 351, 352, 355, 356, 398, 450-499, 327, 357)
There are a number of coding rules related to renal diagnoses, centralized info about them is in [[Renal Coding Considerations (old)]].
* from community hosp to teaching hosp with DX of 350 AND no dialysis on TISS at community hosp AND DX of 350 AND TISS 53, 54 or 55 marked at teaching hospital, then the DX of ARF for community hospital is correct.  


===CRF vs ARF or ARI DX coding integrity check===
{{Data Integrity Check List}}
see [[CRF vs ARF, ARI, Renal Transplant]]


==Related Articles ==
see [[:Category:Renal Problem (old)]] for other renal problems


[[Category:Diagnosis Coding]]
 
[[Category:Data Collection Guide]]
 
[[Category:Renal Problem (old)]]

Latest revision as of 20:41, 2018 December 30


Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Kidney, acute renal failure NOS

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Renal (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: Acute Renal Failure
Sub Diagnosis:
  • 35000 Acute Renal Failure (Newly Dialyzed)
  • 35001 - Pre Renal
  • 35003 - Post Renal
  • 35005 - 2nd to Drug Sensitivity/toxicity
Diagnosis Code: 350**
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program: Critical Care and Medicine
Status: Currently Collected


Note: Information on this page applies to the old diagnosis code of Acute Renal Failure only; for the Apache scoring checkbox see ARF (APACHE)

Guideline

  • newly dialyzed - which means new dialysis started during this hospital admission for a patient that was not on out patient dialysis prior to current hospital admission.
  • The ARF diagnosis only applies if patients actually receive dialysis or CRRT at that location. If a pt does not receive dialysis you can code ARI or ATN instead. See Renal Coding Considerations (old)
  • Acute renal failure can have a pre-renal source or a post-renal source. Pre-renal sources are most common like shock states, low perfusion, toxic causes, etc. Post-renal causes refer to obstructive causes of renal failure like obstructive nephropathy from blocked ureter for example.
  • When a pt starts out in a community hospital and is given a diagnosis of ARF by the doctors, please do not code ARF unless dialysis is started there. Code ATN or ARI instead. If the pt is transferred to another center to start dialysis, the collector there will code ARF. When a pt with ARF from a tertiary hospital is transferred to a community hospital and no dialysis is needed there, the data collectors at the community hospital should not be coding ARF because the renal failure is resolving. They can code ARI. This is my understanding. Trish please let me know if this is the way you also see it. I believe the above information for integrity checks is wrong. --LKolesar 13:41, 20 July 2011 (CDT)

Data Integrity Checks

There are a number of coding rules related to renal diagnoses, centralized info about them is in Renal Coding Considerations (old).

Data Integrity Checks (automatic list)

 AppStatus
Query Check Renal IncompatibleDxsCCMDB.accdbretired
Check CRF vs ARF across multiple encountersCentralized data front end.accdbdeclined

Related Articles

see Category:Renal Problem (old) for other renal problems

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