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]].
When these are addressed, please edit [[Requested CCMDB changes for the next version#ARF & CRF & ARI Integrity Check | Requested CCMDB changes for the next version]] to state the discussion is done so the checks can be implemented in [[CCMDB.mdb]].


* 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.


as moved from [[Requested CCMDB changes for the next version#ARF & CRF & ARI Integrity Check | Requested CCMDB changes for the next version]]:
== [[:Category:Renal insufficiency (old)]] ==
* The 364 is new since the discussion about the cleaner. What is it about? [[User:Ttenbergen|Ttenbergen]] 15:55, 5 November 2008 (CST)
*'''Comorbid'''
**Yes, since I have been further reviewing patient profiles in more detail from the problems that SAS has generated, I see renal insufficiency (364) being coded in admit or complication DX slots for patients who have a comorbid condition of chronic renal failure (351).
**[[Renal insufficiency-mild (creatinine 160-240 mmol)]]
*This article mentions something about transplant. Is that still accurate? [[User:Ttenbergen|Ttenbergen]] 14:12, 18 February 2009 (CST)
**[[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.


[[Category: Questions]]
=== CCMDB Data Integrity Checks: Competing Diagnoses ===
[[Category: Data Integrity Rules]]
see [[query Check Renal IncompatibleDxs]]
[[Category: Questions Diagnosis]]
 
=== 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)]]
}}

Latest revision as of 16:31, 30 December 2021

Legacy Content

This page contains Legacy Content.

Click Expand to show legacy content.

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

Just a comment about CRF - Chronic Renal Failure: when pt has Renal Transplant Problems and/or 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)

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

Apache vs. CRF comorbid

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:
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