Renal Coding Considerations (old): Difference between revisions

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=~~= Data Integrity Rules ==~~

{{LegacyContent

If [[~~CRF - Chronic~~ Renal ~~Failure|CRF~~]] ~~(351-00) is coded as comorbid then the following must not appear in Admit/Acquired codes~~

|explanation=These are so different in ICD10 that we made a new page: [[ICD10 Guideline for Renal Coding]]

* [[~~ARI~~]] ~~(364-00)~~

|successor=[[ICD10 Guideline for Renal Coding]]

* [[Acute Tubular Necrosis | ~~ATN]] (352-00)~~

|content=

* [[ARF (Diagnosis)]] (350 **) must '''not''' be coded as Admit/Acquired '''except''' if Renal Transplant (805 00) is also coded as a comorbid

~~These rules are currently checked at the main office and result in calls~~ for ~~clarification from Pagasa if broken.~~

See also [[ICD10 Guideline for Renal Coding]]

~~===discussion===~~

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]].

* I think we decided to get rid of the renal ~~transplant part for this, right? If so, please remove both that part and this comment... Otherwise, the one-week clock is now ticking for its removal, pending an explanation why it should not~~ be ~~removed~~. [[~~User:Ttenbergen|Ttenbergen~~]] ~~10:57, 23 April 2009 (CDT)~~

== 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.

[[Category: ~~Questions~~]]

== [[:Category:Renal insufficiency (old)]] ==

[[~~Category~~: Data Integrity ~~Rules~~]]

*'''Comorbid'''

[[Category: ~~Questions Diagnosis~~]]

**[[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 ===

see [[query Check Renal IncompatibleDxs]]

=== Diagnoses, Comos vs. Tasks, locations ===

* see [[Check_Renal_Tasks]]

=== Apache vs. CRF comorbid ===

* see [[Query check ApARF CRF]].

=== Apache vs. ARF Dx ===

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

[[Category:Renal Problem (old)]]

}}

@@ Line 1: / Line 1: @@
-== Data Integrity Rules ==
+{{LegacyContent
-If [[CRF - Chronic Renal Failure|CRF]] (351-00) is coded as comorbid then the following must not appear in Admit/Acquired codes
+|explanation=These are so different in ICD10 that we made a new page: [[ICD10 Guideline for Renal Coding]]
-* [[ARI]]  (364-00)
+|successor=[[ICD10 Guideline for Renal Coding]]
-* [[Acute Tubular Necrosis | ATN]]  (352-00)
+|content=
-* [[ARF (Diagnosis)]]  (350 **) must '''not''' be coded as Admit/Acquired '''except''' if Renal Transplant (805 00) is also coded as a comorbid
-These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken.
+See also [[ICD10 Guideline for Renal Coding]]
-===discussion===
+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]].
-* I think we decided to get rid of the renal transplant part for this, right? If so, please remove both that part and this comment... Otherwise, the one-week clock is now ticking for its removal, pending an explanation why it should not be removed. [[User:Ttenbergen|Ttenbergen]] 10:57, 23 April 2009 (CDT)
+== 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.
-[[Category: Questions]]
+== [[:Category:Renal insufficiency (old)]] ==
-[[Category: Data Integrity Rules]]
+*'''Comorbid'''
-[[Category: Questions Diagnosis]]
+**[[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 ===
+see [[query Check Renal IncompatibleDxs]]
+=== Diagnoses, Comos vs. Tasks, locations ===
+* see [[Check_Renal_Tasks]]
+=== Apache vs. CRF comorbid ===
+* see [[Query check ApARF CRF]].
+=== Apache vs. ARF Dx ===
+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 (old)]]
+}}