Kidney, acute renal failure NOS: Difference between revisions

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m Moved Lisa's update to Template:ICD10 Guideline ESRD vs Acute renal failure for consolidation, replaced with transclusion of that template
 
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{{ICD10 transition status
{{ICD10 transition status
| OldDxArticle = ARF
| OldDxArticle = ARF; ARI
| CurrentStatus = freshly automatically generated article
| CurrentStatus = needs review
| InitialEditorAssigned = Michelle Lagadi
| InitialEditorAssigned = Michelle Lagadi
}}
}}
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| BugRequired=  
| BugRequired=  
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{{ICD10 category|Renal/urinary}}{{ICD10 category|Metabolic/nutrition}}  
{{ICD10 category|Renal/urinary}}{{ICD10 category|Renal failure}}


== Additional Info ==
== Additional Info ==
Do NOT use this code if the patient has a '''pre-existing''' diagnosis of: '''[[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]'''
'''Excludes:'''
*[[Kidney, acute tubular necrosis (ATN)]] - This code {{PAGENAME}} is, by definition, for acute renal failure that is '''"not otherwise specified" (NOS)'''. ATN is more specific, so if it is right, use it


This code includes the following conditions that don't have separate ICD10 codes:
{{ICD10 Guideline KDIGO Guidelines for Acute Renal Failure}}
* '''Acute Kidney Injury''' (AKI)
* '''acute renal insufficiency''' ([[ARI]])
*Do not use this code if the AKI is postoperative or postprocedural


The [http://kdigo.org/clinical_practice_guidelines/pdf/KDIGO%20AKI%20Guideline.pdf KDIGO guidelines] identify that this is present if any one or more of the following are true:
{{ICD10 Guideline ESRD vs Acute renal failure}}
*Increase in serum creatinine by 26 micromoles/L or more within 48 hours
*Increase in serum creatinine to 1.5 times baseline or more within the last 7 days
*Urine output less than 0.5 mL/kg/hour for 6 hours


== Alternate ICD10s to consider coding instead or in addition ==
== Alternate ICD10s to consider coding instead or in addition ==
*[[Kidney, acute renal failure NOS]]
{{ListICD10Category | categoryName = Renal failure}}
*[[Kidney, acute tubular necrosis (ATN)]]
{{ListICD10Category | categoryName = Chronic kidney disease}}
*[[Prerenal uremia/state]]
*[[Chronic kidney disease (uremia, chronic renal insufficiency) Stage 1]]
*[[Chronic kidney disease (uremia, chronic renal insufficiency) Stage 2]]
*[[Chronic kidney disease (uremia, chronic renal insufficiency) Stage 3]]
*[[Chronic kidney disease (uremia, chronic renal insufficiency) Stage 4]]
*[[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]
*[[Kidney, acute renal failure, postprocedural]]


== Candidate [[Combined ICD10 codes]] ==
== Candidate [[Combined ICD10 codes]] ==
*Also code the cause, if known.
*Also code the cause, if known.


== {{Data Integrity Checks}} ==
== Related CCI Codes ==
There are a number of coding rules related to renal diagnoses, centralized info about them is in '''[[Renal Coding Considerations for ICD10]]'''.  
 
== Data Integrity Checks ==
There are a number of coding rules related to renal diagnoses, centralized info about them is in '''[[ICD10 Guideline for Renal Coding]]'''.  
{{Data Integrity Check List}}


== Related CCI Codes ==
== Legacy Info ==
{{Collapsable
| always= Legacy only
| full=
We understand that the definition in the ICD10 codes is different than the definition in [[ARF (Diagnosis)]] and [[ARI]] and [[CRF - Chronic Renal Failure]] was. We are OK with that and will use the new definitions for the new codes, and the old ones for the old codes. Hopefully we can limit the amount of time where we consider both.
}}


== Related Articles ==
== Related Articles ==