Renal Coding Considerations (old): Difference between revisions
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|explanation=These are so different in ICD10 that we made a new page: [[ICD10 Guideline for Renal Coding]] | |||
|successor=[[ICD10 Guideline for Renal Coding]] | |||
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There are a few restrictions about which renal diagnoses can be coded together. These checks are currently done partly by Pagasa | See also [[ICD10 Guideline for Renal Coding]] | ||
There are a few restrictions about which renal diagnoses can be coded together. These checks are currently done partly by Pagasa and have been partly implemented in [[CCMDB.accdb]]. | |||
== CRF in pt with transplant failure == | == CRF in pt with transplant failure == | ||
Just a comment about '''[[CRF - Chronic Renal Failure]]''': when pt has [[Renal Transplant Problems]] and/or [[Renal Transplant|Renal Transplant - Removal of Transplant-Organ]] and requires dialysis, they can have acquired diagnoses of '''[[ARF (Diagnosis)]]''', '''[[Acute Tubular Necrosis (ATN)]]''' and/or [[ARI]], which is related to their new donor kidney. | Just a comment about '''[[CRF - Chronic Renal Failure]]''': when pt has [[Renal Transplant Problems]] and/or [[Renal Transplant|Renal Transplant - Removal of Transplant-Organ]] and requires dialysis, they can have acquired diagnoses of '''[[ARF (Diagnosis)]]''', '''[[Acute Tubular Necrosis (ATN)]]''' and/or [[ARI]], which is related to their new donor kidney. | ||
== | == [[:Category:Renal insufficiency (old)]] == | ||
These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken. Some of them have been added to [[CCMDB. | *'''Comorbid''' | ||
**[[Renal insufficiency-mild (creatinine 160-240 mmol)]] | |||
**[[Renal Insufficiency-moderate (Cr greater than 240)]] | |||
*'''Admit or complication''' | |||
**[[ARI]] there is a different range - creatinine rise of >250 mmol OR a rise of >100 mmol from baseline over 24 hrs. | |||
*'''No dialysis''' or | |||
*'''N history of CRF''' | |||
**if patient required acute dialysis, it is not due to renal insufficiency - please see [[ARF]] | |||
**This is in the code book but not on the Wiki. (code books OLD so folks should not use). | |||
== Data Integrity Checks == | |||
These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken. Some of them have been added to [[CCMDB.accdb]], more are to follow. | |||
=== CCMDB Data Integrity Checks: Competing Diagnoses === | === CCMDB Data Integrity Checks: Competing Diagnoses === | ||
see [[query Check Renal IncompatibleDxs]] | |||
=== Diagnoses, Comos vs. Tasks, locations === | === Diagnoses, Comos vs. Tasks, locations === | ||
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=== Apache vs. CRF comorbid === | === Apache vs. CRF comorbid === | ||
* see [[ | * see [[Query check ApARF CRF]]. | ||
=== Apache vs. ARF Dx === | === Apache vs. ARF Dx === | ||
cross-checks impossible due to different definitions, see [[ARF (Diagnosis)]] and [[ARF (APACHE)]] | cross-checks impossible due to different definitions, see [[ARF (Diagnosis)]] and [[ARF (APACHE)]] | ||
== | == Data Integrity Checks that can '''not''' be checked before sending== | ||
* | * ''Query check_CCI_TISS_Dxs_vs_Dialysis'' | ||
== Related articles == | |||
see [[:Category:Renal Problem (old)]] for other renal problems | |||
{{Related Articles}} | |||
[[Category: Renal Problem]] | [[Category:Renal Problem (old)]] | ||
}} | |||