Kidney, acute tubular necrosis (ATN): Difference between revisions

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{{ICD10 transition status

| OldDxArticle =Acute Tubular Necrosis (ATN)| CurrentStatus = ~~freshly automatically generated article~~

| OldDxArticle =Acute Tubular Necrosis (ATN)| CurrentStatus = reconciled

| InitialEditorAssigned = Michelle Lagadi

~~| MinimumCombinedCodes =~~

}}

{{ICD10 dx

| MinimumCombinedCodes =

| ICD10 Code=N17.0

| BugRequired=

}}

~~{{ICD10 category|Renal/urinary}}{{ICD10 category|Metabolic/nutrition}}~~

== Additional Info ==

*Acute tubular necrosis (ATN) is a medical condition involving the death of tubular epithelial cells that form the renal tubules of the kidneys.

*It is one of many possible causes of acute kidney injury (AKI) -- also known as Acute Renal Failure. In the ICU it's among the most common causes of AKI.

*Common causes of ATN include shock, and nephrotoxic drugs.

*ATN is a diagnosis ''usually'' made clinically by: presence of AKI + presence of a known cause of ATN + urine electrolytes showing consistent findings (e.g. fractional excretion of sodium of >1%) + urine sediment showing lots of renal tubular epithelial cells.

*If you use this code, you should NOT also use the [[Kidney, acute renal failure NOS]] code -- as the latter is for types of acute renal failure that are NOT otherwise specified and ATN is exactly that, a type of acute renal failure that IS otherwise specified.

*In any case, since ATN is a specific type/cause of AKI/ARF, to qualify the patient must have AKI/ARF, as defined by KDIGO:

~~== Alternate ICD10s to consider coding instead ==~~

~~(turn these into links to the actual diagnosis articles if possible. For some that might make no sense.)~~

== Alternate ICD10s to consider coding instead or in addition ==

*[[Hemoglobinuria]]

*[[Anuria or oliguria]]

== Candidate [[Combined ICD10 codes]] ==

~~(put links to likely candidates coded with this one~~, eg. a ~~cause~~ for ~~a trauma~~.)

*Also code the cause, if known.

== 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]]'''.

== Related Articles ==

@@ Line 1: / Line 1: @@
 {{ICD10 transition status
-| OldDxArticle =Acute Tubular Necrosis  (ATN)| CurrentStatus = freshly automatically generated article
+| OldDxArticle =Acute Tubular Necrosis  (ATN)| CurrentStatus = reconciled
 | InitialEditorAssigned = Michelle Lagadi
-| MinimumCombinedCodes =
 }}
 {{ICD10 dx
+| MinimumCombinedCodes =
 | ICD10 Code=N17.0
 | BugRequired=
 }}
+{{ICD10 category|Renal/urinary}}{{ICD10 category|Renal failure}}
-{{ICD10 category|Renal/urinary}}{{ICD10 category|Metabolic/nutrition}}
 == Additional Info ==
+*Acute tubular necrosis (ATN) is a medical condition involving the death of tubular epithelial cells that form the renal tubules of the kidneys.
+*It is one of many possible causes of acute kidney injury (AKI) -- also known as Acute Renal Failure.  In the ICU it's among the most common causes of AKI.
+*Common causes of ATN include shock, and nephrotoxic drugs.
+*ATN is a diagnosis ''usually'' made clinically by:  presence of AKI + presence of a known cause of ATN + urine electrolytes showing consistent findings (e.g. fractional excretion of sodium of >1%) + urine sediment showing lots of renal tubular epithelial cells.
+*If you use this code, you should NOT also use the [[Kidney, acute renal failure NOS]] code -- as the latter is for types of acute renal failure that are NOT otherwise specified and ATN is exactly that, a type of acute renal failure that IS otherwise specified.
+*In any case, since ATN is a specific type/cause of AKI/ARF, to qualify the patient must have AKI/ARF, as defined by KDIGO:
+{{ICD10 Guideline KDIGO Guidelines for Acute Renal Failure}}
-== Alternate ICD10s to consider coding instead ==
+{{ICD10 Guideline ESRD vs Acute renal failure}}
-(turn these into links to the actual diagnosis articles if possible. For some that might make no sense.)
+== Alternate ICD10s to consider coding instead or in addition ==
+{{ListICD10Category | categoryName = Renal failure}}
+{{ListICD10Category | categoryName = Chronic kidney disease}}
+*[[Hemoglobinuria]]
+*[[Anuria or oliguria]]
 == Candidate [[Combined ICD10 codes]] ==
-(put links to likely candidates coded with this one, eg. a cause for a trauma.)
+*Also code the cause, if known.
+== 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}}
 == Related Articles ==
 {{Related Articles}}
+{{ICD10 footer}}
+{{EndPlaceHolder}}