CRF - Chronic Renal Failure: Difference between revisions

(47 intermediate revisions by 4 users not shown)

Line 1:

{{~~DX tag~~ | ~~CRF | CRF (~~Chronic ~~Dialysis) | 351 00 | CC and M~~ (~~comorbid only~~) ~~| Currently Collected~~ }}

{{PreICD10 dx | NewDxArticle = Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15 }}

~~'''Chronic~~ Renal ~~Failure~~''' ~~is coded as a~~''' ~~comorbid condition~~''' ~~only for any patient who is receiving~~ '''~~chronic outpatient dialysis~~''' ~~for kidney failure~~ '''~~prior to''' the current hospital admission.~~

{{DX tag | Renal | Medical Problem| CRF - '''C'''hronic '''R'''enal '''F'''ailure | None

| Not a main DX code |35100 - CRF - Chronic Renal Failure | 2 |CC & Med | Currently Collected | | |}}

*~~For~~ '''~~newly~~ dialyzed''' ~~patients use the [[ARF - Acute Renal Failure]] codes instead.~~

* A patient who has been receiving outpatient dialysis treatments '''recently''' prior to hospitalization is considered to be in CRF.

* A patient who is '''not currently''' in a dialysis treatment program should '''not''' be considered to be in CRF.

* A patient with an intact kidney transplant who is not being dialyzed should '''not''' be coded as CRF

~~==CRF and TISS==~~

See '''[[Renal Coding Considerations (old)]] and [[ICD10 Guideline for Renal Coding]]''' because there are a number of coding rules related to renal diagnoses.

* recent audit:

~~FINDINGS~~

*CRF (~~351~~) ~~in DX but TISS not marked when LOS 4 days or more~~

*CRF (351) is being coded in comorbid instead of ~~Renal insufficiency (364-87 or 88)~~.

~~==Data Integrity Rules==~~

[[Category:Comorbid Diagnosis (old)]]

*See the data integrity check related to this code at "[[~~CRF vs ARF, ARI, Renal Transplant]]".~~

*if LOS in ICU or medicine <=3 days and IF comorbid DX is 351, then TISS 52-55 or Medicine TASK item not marked is correct.

~~(most CRF patient will have dialysis 2-3 times per week, so checking every patient with LOS of <= days who have 351 in comorbid, but nothing on TISS or in TASK, if creating excessive chart checks.~~

* if Julie would like to comment further.

~~[[User~~:~~TOstryzniuk|TOstryzniuk]] 18:13, 24 October 2008~~ (~~CDT~~)

~~[[Category:Diagnosis Coding]]~~

~~[[Category:Data_Collection_Guide]]~~

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

@@ Line 1: / Line 1: @@
-{{DX tag | CRF | CRF (Chronic Dialysis) | 351 00 | CC and M (comorbid only) | Currently Collected }}
+{{PreICD10 dx | NewDxArticle = Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15 }}
-'''Chronic Renal Failure''' is coded as a''' comorbid condition''' only for any patient who is receiving '''chronic outpatient dialysis''' for kidney failure '''prior to''' the current hospital admission.
+{{DX tag | Renal | Medical Problem| CRF - '''C'''hronic '''R'''enal '''F'''ailure | None
+| Not a main DX code |35100 - CRF - Chronic Renal Failure | 2 |CC & Med | Currently Collected | | |}}
-*For '''newly dialyzed''' patients use the [[ARF - Acute Renal Failure]] codes instead.
+* A patient who has been receiving outpatient dialysis treatments '''recently''' prior to hospitalization is considered to be in CRF.
+* A patient who is '''not currently''' in a dialysis treatment program should '''not''' be considered to be in CRF.
+* A patient with an intact kidney transplant who is not being dialyzed should '''not''' be coded as CRF
-==CRF and TISS==
+See '''[[Renal Coding Considerations (old)]] and [[ICD10 Guideline for Renal Coding]]''' because there are a number of coding rules related to renal diagnoses.
-* recent audit:
-FINDINGS
-*CRF (351) in DX but TISS not marked when LOS 4 days or more
-*CRF (351) is being coded in comorbid instead of Renal insufficiency (364-87 or 88).
+{{Data Integrity Check List}}
-==Data Integrity Rules==
+[[Category:Comorbid Diagnosis (old)]]
-*See the data integrity check related to this code at "[[CRF vs ARF, ARI, Renal Transplant]]".
-*if LOS in ICU or medicine <=3 days and IF comorbid DX is 351, then TISS 52-55 or Medicine TASK item not marked is correct.
-(most CRF patient will have dialysis 2-3 times per week, so checking every patient with LOS of <= days who have 351 in comorbid, but nothing on TISS or in TASK, if creating excessive chart checks.
-* if Julie would like to comment further.
-[[User:TOstryzniuk|TOstryzniuk]] 18:13, 24 October 2008 (CDT)
-[[Category:Diagnosis Coding]]
-[[Category:Data_Collection_Guide]]
-[[Category:Data Integrity Rules]]