Renal Coding Considerations (old): Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
m CRF vs transplant: clarification
m Text replacement - "Renal Coding Considerations for ICD10" to "ICD10 Guideline for Renal Coding"
 
(24 intermediate revisions by the same user not shown)
Line 1: Line 1:
There are a few restrictions about which renal diagnoses can be coded together. These checks are currently done partly by Pagasa ([[!_Automated_Data_Integrity_Checks#CRF_vs_ARF]]) and have been partly implemented in [[CCMDB.mdb]].
{{LegacyContent
|explanation=These are so different in ICD10 that we made a new page: [[ICD10 Guideline for Renal Coding]]
|successor=[[ICD10 Guideline for Renal Coding]]
|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 ==
== 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.


== {{Data Integrity Checks}} ==
== [[: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.mdb]], more are to follow.
*'''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).


=== {{CCMDB Data Integrity Checks}}: Competing Diagnoses ===
== Data Integrity Checks ==
''see [[Check Renal IncompatibleDxs]]''
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.
* If no [[Renal Transplant]] (80504 or 80505) in either Dxs or Comos then
 
** If comorbid [[CRF - Chronic Renal Failure|CRF]] (351-00) exists then the following must '''not''' appear in Admit/Acquired codes
=== CCMDB Data Integrity Checks: Competing Diagnoses ===
*** [[ARI]]  (364-00)
see [[query Check Renal IncompatibleDxs]]
*** [[Acute Tubular Necrosis | ATN]]  (352-00)
*** [[ARF (Diagnosis)]]  (350 **)


=== Diagnoses, Comos vs. Tasks, locations ===
=== Diagnoses, Comos vs. Tasks, locations ===
Line 19: Line 32:


=== Apache vs. CRF comorbid ===
=== Apache vs. CRF comorbid ===
* see [[Check ApARF CRF]].  
* 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==
== Data Integrity Checks that can '''not''' be checked before sending==
* [[Check CRF/ARF against TISS Dialysis]]
* ''Query check_CCI_TISS_Dxs_vs_Dialysis''
 
== Related Articles ==
see [[:Category:Renal Problem]] for other renal problems
 


== Related articles ==
see [[:Category:Renal Problem (old)]] for other renal problems
{{Related Articles}}


[[Category: Renal Problem]]
[[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: