Prerenal uremia/state: Difference between revisions
Ttenbergen (talk | contribs) mNo edit summary |
Ttenbergen (talk | contribs) m Text replacement - "== Alternate ICD10s to consider coding instead or in addition ==" to "{{ICD10 Guideline repeated events}} == Alternate ICD10s to consider coding instead or in addition ==" |
||
| (4 intermediate revisions by the same user not shown) | |||
| Line 15: | Line 15: | ||
*The usual marker for this entity is elevated serum urea and/or elevated serum creatinine PLUS an elevated urea:creatinine ratio. The normal value of this ratio (in the units used here) is 44, so a ratio > 66 is suggestive of a pre-renal state. While pre-renal patients are usually intravascularly depleted, this is not universally the case; any situation in which renal perfusion is reduced can give a pre-renal state, even without volume depletion. An example is bilateral renal artery stenosis. | *The usual marker for this entity is elevated serum urea and/or elevated serum creatinine PLUS an elevated urea:creatinine ratio. The normal value of this ratio (in the units used here) is 44, so a ratio > 66 is suggestive of a pre-renal state. While pre-renal patients are usually intravascularly depleted, this is not universally the case; any situation in which renal perfusion is reduced can give a pre-renal state, even without volume depletion. An example is bilateral renal artery stenosis. | ||
*If the patient qualifies, one could/should also code '''[[Kidney, acute renal failure NOS]]''' | *If the patient qualifies, one could/should also code '''[[Kidney, acute renal failure NOS]]''' | ||
*Do not use this code if the patient has a '''pre-existing''' diagnosis of: '''[[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]''' | *Do not use this code if the patient has a '''pre-existing''' diagnosis of: '''[[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]]''' | ||
{{ICD10 Guideline Symptoms not needed when cause known}} | {{ICD10 Guideline Signs Symptoms Test Results not needed when cause known}} | ||
{{ICD10 Guideline repeated events}} | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
| Line 27: | Line 29: | ||
== Related CCI Codes == | == Related CCI Codes == | ||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | {{ICD10 footer}} | ||
{{EndPlaceHolder}} | {{EndPlaceHolder}} | ||