Renal dialysis care, including dialysis itself: Difference between revisions
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{{ICD10 transition status | {{ICD10 transition status | ||
| OldDxArticle =Pt Monitored while on Dialysis| CurrentStatus = | | OldDxArticle =Pt Monitored while on Dialysis | ||
| InitialEditorAssigned = | | CurrentStatus = reconciled | ||
| InitialEditorAssigned = not assigned | |||
}} | }} | ||
{{ICD10 dx | {{ICD10 dx | ||
| MinimumCombinedCodes = | |||
| ICD10 Code=Z49 | | ICD10 Code=Z49 | ||
| | | StopDate = 2018-12-28 | ||
}} | }} | ||
{{ICD10 category|Misc}}{{ICD10 category|Healthcare contact}} | |||
{{ICD10 category|Renal/urinary}}{{ICD10 category|Chronic kidney disease}}{{ICD10 category|Renal failure}} | |||
== Additional Info == | == Additional Info == | ||
=== Code retired === | |||
Almost every case of dialized patient can be determined by looking at the following, so we decided having this extra code was not necessary. We realize that it will make certain cross checks impossible. | |||
* CCI | |||
**[[PD (Peritoneal dialysis)]] | |||
**[[HD (Hemodialysis)]] | |||
**[[CRRT (incl volume removal via PRISMA device)]] | |||
* ICD10 | |||
:{{ListICD10Category | categoryName = Renal failure}} | |||
=== other info === | |||
* Use this code together with [[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]] in comorbs, to identify ESRD patients on chronic HD. | |||
* Although this ''could'' be used as an [[Admit Diagnosis]] if in fact they're being admitted for dialysis (in which case, it should be linked to the diagnosis for which they're getting admitted for acute dialysis), it's PREFERRED that when someone is admitted for acute dialysis that you code the cause/reason it's needed (e.g. hyperkalemia) AND the CCI code for the dialysis. | |||
*If the ICU space is '''merely borrowing the ICU space to dialyze a patient''', the patient should not be entered into our database. | |||
== Alternate ICD10s to consider coding instead == | == Alternate ICD10s to consider coding instead or in addition == | ||
{{ListICD10Category | categoryName = Chronic kidney disease}} | |||
{{ListICD10Category | categoryName = Renal failure}} | |||
*[[Hyperkalemia, severe or symptomatic]] | |||
== Candidate [[Combined ICD10 codes]] == | |||
== | == Related CCI Codes == | ||
*[[PD (Peritoneal dialysis)]] | |||
*[[HD (Hemodialysis)]] | |||
*[[CRRT (incl volume removal via PRISMA device)]] | |||
== Related TISS Codes == | |||
*Also may have to code appropriate TISS items for this. | |||
**{{TISS w Nr | CRRT (TISS Item)}} | |||
**{{TISS w Nr | Intermittent hemodialysis (TISS Item)}} | |||
**{{TISS w Nr | Peritoneal dialysis (TISS Item)}} | |||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||