ARI: Difference between revisions

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{{DX tag | Renal | Medical Problem | Acute Renal Insufficiency |  | [[36400 - ARI-Acute Renal Insufficiency]]| No | 0 - 2 |'''Critical Care and Medicine''' | Currently Collected | | |}}
{{PreICD10 dx | NewDxArticle = Kidney, acute renal failure NOS }}  
'''A'''cute '''R'''enal '''I'''insufficiency


=={{G|Guideline}}==
{{DX tag | Renal | Medical Problem | Acute Renal Insufficiency |  | 36400 | No | 0 - 2 |'''Critical Care and Medicine''' | Currently Collected | | |}}
*''' Creatinine >250 mmol or a Rise >100 mmol from baseline over 24 hours'''
 
see
*[[Renal Insufficiency-moderate (Cr greater than 240)]]
*[[Renal insufficiency-mild (creatinine 160-240 mmol)]] for the related comorbid codes
 
'''A'''cute '''R'''enal '''I'''nsufficiency
 
==Guideline==
*'''A Rise >100 mmol from baseline over 24 hours'''
* a patient is '''not''' on chronic hemodialysis or peritoneal dialysis
* a patient is '''not''' on chronic hemodialysis or peritoneal dialysis
* I don't think that just having a creatinine of >250 should automatically mean ARI.  This could be the patient's baseline and therefore is a chronic issue.  My opinion is to only use the rule of >100 mmol over baseline over 24 hours for '''acute''' renal insufficiency (without dialysis), or use ATN  if this is documented.  --[[User:LKolesar|LKolesar]] 07:13, 2014 October 8 (CDT)
* If the prior Creatinine level is unknown use > 250 as a guideline to code ARI.
** Are we to change what we have being doing for over 10 years ?--[[User:PStein|PStein]] 09:54, 2014 October 15 (CDT)
* check what the pts baseline ''' per doctors note''' creatinine was prior to admission. If creatinine was > or equal to 250 last admission code as ARI if the present creatinine was 350 or more.
** I am just putting my opinion here, if any changes are done they will have to go through the task group first.--[[User:LKolesar|LKolesar]] 11:28, 2014 October 15 (CDT)
 
== {{Data Integrity Checks}} ==
{{Data Integrity Check List}}
There are a number of coding rules related to renal diagnoses, centralized info about them is in [[Renal Coding Considerations]].  
 
** I always check what the pts baseline creatinine was prior to admission if the pt had chronic renal insuffiency and creatinine was 250 last admission I will code as mod CRI if the present creatinine was say 350 I will code acute RI in admits and CRI in comorbids ( acute on chronic )If the creat was the same as last admission  say 250 and pt has CRI I only code in comorbids because it is not acute.
== Related articles ==
**This is what I do also.  This makes sense to me, not arbitrarily putting a value of >250 as acute renal insufficiency.--[[User:LKolesar|LKolesar]] 17:29, 2014 October 15 (CDT)
{{Related Articles}}
[[Category: Diagnosis Coding]]
 
[[Category: Charlson - Renal]]
 
[[Category: Renal Problem]]
[[Category: Renal Problem (old)]]
[[Category: Renal insufficiency]]
[[Category: Renal insufficiency (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 Insufficiency
Sub Diagnosis:
Diagnosis Code: 36400
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0 - 2
Program: Critical Care and Medicine
Status: Currently Collected


see

Acute Renal Insufficiency

Guideline

  • A Rise >100 mmol from baseline over 24 hours
  • a patient is not on chronic hemodialysis or peritoneal dialysis
  • If the prior Creatinine level is unknown use > 250 as a guideline to code ARI.
  • check what the pts baseline per doctors note creatinine was prior to admission. If creatinine was > or equal to 250 last admission code as ARI if the present creatinine was 350 or more.

Data Integrity Checks (automatic list)

 AppStatus
Query Check Renal IncompatibleDxsCCMDB.accdbretired

Related articles

Related articles:
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