CRF - Chronic Renal Failure: Difference between revisions

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{{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 }}
==CRF - Definition==
'''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 | | |}}


* 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


*For '''newly dialyzed''' patients use the [[ARF (Diagnosis)]] codes instead.
See '''[[Renal Coding Considerations (old)]] and [[ICD10 Guideline for Renal Coding]]''' because there are a number of coding rules related to renal diagnoses.


{{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 COMORBID coded with CRF (351),then ARF (350), ARI (364) or 352 (ATN),cannot be coded in admit or complications.
 
*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)
==DISCUSSION==
`Just a comment about CRF 351, When pt recieving a Renal Transplant 361,who then has complications and requires dialysis, they can have 350, 352 and 364, which is related to their new donor kidney.--FLindell 08:36, 25 November 2008 (CST)  
[[Category:Diagnosis Coding]]
[[Category:Data_Collection_Guide]]
[[Category:Data Integrity Rules]]

Latest revision as of 15:31, 2021 December 30


Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Renal (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: CRF - Chronic Renal Failure
Sub Diagnosis: None
Diagnosis Code: Not a main DX code
Comorbid Diagnosis: 35100 - CRF - Chronic Renal Failure
Charlson Comorbid coding (pre ICD10): 2
Program: CC & Med
Status: Currently Collected


  • 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

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

Data Integrity Checks (automatic list)

 AppStatus
Query Check Renal IncompatibleDxsCCMDB.accdbretired
Check CRF vs ARF across multiple encountersCentralized data front end.accdbdeclined
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