Kidney, acute renal failure NOS: Difference between revisions

(18 intermediate revisions by 4 users not shown)

Line 1:

{{ICD10 transition status

| OldDxArticle = ARF, ARI

| OldDxArticle = ARF; ARI

| CurrentStatus = needs review

| InitialEditorAssigned = Michelle Lagadi

Line 12:

== Additional Info ==

'''Excludes: '''

'''Excludes:'''

* [[Kidney, acute renal failure, ~~postprocedural]]~~

*[[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:~~

* '''Acute Kidney Injury''' (AKI)

{{~~Discussion}} Patients are frequently admitted with AKI as part of dx list to medicine wards. To confirm, with the move to ICD 10 are kidney failure codes available options~~ for ~~use on all medicine wards? [[User:Ppiche|Pamela Piche]] 13:30, 2018 October 25 (CDT)~~

* '''Acute Renal ~~Insufficiency''' ([[ARI]])~~

~~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:~~

*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

~~{{DA|~~

*I double checked with our lab values, and it looks like our EPR results are measured in micromoles/L. Using the guidelines listed above, that would mean that any patient who has a rise in creatinine over a 2 day period equal or greater to 26, would be coded as "acute renal failure NOS". For example, a patient whose creatinine rises from 120 to 150 within 48 hours, would receive this code. I feel like I am reading these instructions wrong, because this would mean a large number of patients would fall into this category.[[User:Mlagadi|Mlagadi]] 14:01, 2018 October 16 (CDT)

** I'll leave this for Allan to confirm, but the definition on p.19 of [http://kdigo.org/clinical_practice_guidelines/pdf/KDIGO%20AKI%20Guideline.pdf KDIGO guidelines] does indeed say so, even though it uses the cut-off 26.5 and I am not sure why we would have deviated from that. }}

Line 39:

Line 26:

*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]]'''.~~

== ~~Related CCI Codes~~ ==

== 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]]'''.

== 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 ==

@@ Line 1: / Line 1: @@
 {{ICD10 transition status
-| OldDxArticle = ARF, ARI
+| OldDxArticle = ARF; ARI
 | CurrentStatus = needs review
 | InitialEditorAssigned = Michelle Lagadi
@@ Line 12: / Line 12: @@
 == Additional Info ==
-'''Excludes: '''
+'''Excludes:'''
-* [[Kidney, acute renal failure, postprocedural]]
+*[[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
+{{ICD10 Guideline KDIGO Guidelines for Acute Renal Failure}}
-This code includes the following conditions that don't have separate ICD10 codes:
-* '''Acute Kidney Injury''' (AKI)
-{{Discussion}} Patients are frequently admitted with AKI as part of dx list to medicine wards. To confirm, with the move to ICD 10 are kidney failure codes available options for use on all medicine wards? [[User:Ppiche|Pamela Piche]] 13:30, 2018 October 25 (CDT)
-* '''Acute Renal Insufficiency''' ([[ARI]])
-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:
-*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
-{{DA|
-*I double checked with our lab values, and it looks like our EPR results are measured in micromoles/L.  Using the guidelines listed above, that would mean that any patient who has a rise in creatinine over a 2 day period equal or greater to 26, would be coded as "acute renal failure NOS". For example, a patient whose creatinine rises from 120 to 150 within 48 hours, would receive this code. I feel like I am reading these instructions wrong, because this would mean a large number of patients would fall into this category.[[User:Mlagadi|Mlagadi]] 14:01, 2018 October 16 (CDT)
-** I'll leave this for Allan to confirm, but the definition on p.19 of [http://kdigo.org/clinical_practice_guidelines/pdf/KDIGO%20AKI%20Guideline.pdf KDIGO guidelines] does indeed say so, even though it uses the cut-off 26.5 and I am not sure why we would have deviated from that. }}
 {{ICD10 Guideline ESRD vs Acute renal failure}}
@@ Line 39: / Line 26: @@
 *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]]'''.
-== Related CCI Codes ==
+== 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}}
 == 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 ==