Prerenal uremia/state: Difference between revisions
m Text replacement - "{{Combined Symptoms not needed when cause known}} " to "{{ICD10 Symptoms not needed when cause known}}" |
Ttenbergen (talk | contribs) m Text replacement - "== Alternate ICD10s to consider coding instead or in addition ==" to "{{ICD10 Guideline repeated events}} == Alternate ICD10s to consider coding instead or in addition ==" |
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{{ICD10 transition status | {{ICD10 transition status | ||
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| InitialEditorAssigned = Stephanie Cortilet | | InitialEditorAssigned = Stephanie Cortilet | ||
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{{ICD10 category|Renal/urinary}}{{ICD10 category|Symptom/Sign}} | {{ICD10 category|Renal/urinary}}{{ICD10 category|Renal failure}}{{ICD10 category|Symptom/Sign}} | ||
== Additional Info == | == Additional Info == | ||
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*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. | *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]]''' | *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 kidney disease, ESRD), Stage 5]]''' | *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 Symptoms not needed when cause known}} | {{ICD10 Guideline Signs Symptoms Test Results not needed when cause known}} | ||
== Alternate ICD10s to consider coding instead or in addition == | |||
{{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]] == | == Candidate [[Combined ICD10 codes]] == | ||
== Related CCI Codes == | |||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | {{ICD10 footer}} | ||
{{EndPlaceHolder}} | {{EndPlaceHolder}} | ||