ARI: Difference between revisions

clean-up and a further question
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{{DX tag | Renal | Medical Problem | Acute Renal Insufficiency |  | [[36400 - ARI-Acute Renal Insufficiency]]| No | 0 - 2 |'''Critical Care and Medicine''' | Currently Collected | | |}}
{{PreICD10 dx | NewDxArticle = Kidney, acute renal failure NOS }}
'' see [[Renal Insufficiency-moderate (Cr greater than 240)]] and [[Renal insufficiency-mild (creatinine 160-240 mmol)]] for the related comorbid codes
 
{{DX tag | Renal | Medical Problem | Acute Renal Insufficiency |  | 36400 | No | 0 - 2 |'''Critical Care and Medicine''' | Currently Collected | | |}}
 
see  
*[[Renal Insufficiency-moderate (Cr greater than 240)]]
*[[Renal insufficiency-mild (creatinine 160-240 mmol)]] for the related comorbid codes


'''A'''cute '''R'''enal '''I'''nsufficiency
'''A'''cute '''R'''enal '''I'''nsufficiency


=={{G|Guideline}}==
==Guideline==
*''A Rise >100 mmol from baseline over 24 hours'''
*'''A Rise >100 mmol from baseline over 24 hours'''
* a patient is '''not''' on chronic hemodialysis or peritoneal dialysis
* a patient is '''not''' on chronic hemodialysis or peritoneal dialysis
* If the prior Creatinine level is unknown use > 250 as a guideline to code ARI.
* If the prior Creatinine level is unknown use > 250 as a guideline to code ARI.
* check what the pts baseline ''' per doctors note''' creatinine was prior to admission.  If creatinine was > or equal to 250 last admission code as ARI if the present creatinine was 350 or more.


{{discussion}}
{{Data Integrity Check List}}
* check what the pts baseline creatinine was prior to admission.  If creatinine was 250 last admission code as ARI if the present creatinine was 350 or more. 
** I think you must mean "was > or < 250", not exactly, which is it? Please fix above and then remove this commentTtenbergen 10:43, 2016 March 31 (CDT)
 
* In the pt's history if pt has been running high creatinine levels remember to code [[Renal Insufficiency-moderate (Cr greater than 240)]] or [[Renal insufficiency-mild (creatinine 160-240 mmol)]] in the '''comorbid''' section according to the guideline (Mild or Mod)


== {{Data Integrity Checks}} ==
== Related articles ==
There are a number of coding rules related to renal diagnoses, centralized info about them is in [[Renal Coding Considerations]].
{{Related Articles}}




[[Category: Diagnosis Coding]]
[[Category:Renal Problem (old)]]
[[Category: Renal Problem]]
[[Category:Renal insufficiency (old)]]
[[Category: Renal insufficiency]]