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| | {{LegacyContent |
| | |explanation=retired as part of moving to ICD10 |
| | |successor=[[Query check ICD10 ESRD vs AP ARF]] |
| | |content= |
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| {{Data Integrity Check | | {{Data Integrity Check |
| |DIC_summary=[[ARF (APACHE)]] and [[CRF - Chronic Renal Failure]] can not be coded together for the same patient. | | |DIC_summary=[[ARF (APACHE)]] and [[CRF - Chronic Renal Failure]] can not be coded together for the same patient. |
| |DIC_related_concepts=ARF (APACHE);Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5 | | |DIC_related_concepts=ARF (APACHE);Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15 |
| |DIC_firmness=hard check | | |DIC_firmness=hard check |
| |DIC_coding=query ''Check_ApARF_CRF '' | | |DIC_coding=query ''Check_ApARF_CRF '' |
| |DIC_implementation_date=date change was rolled out / first applied | | |DIC_implementation_date= |
| |DIC_status=needs review | | |DIC_status=retired |
| |DIC_app=CCMDB.mdb | | |DIC_app=CCMDB.accdb |
| }} | | }} |
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| == ICD10 ==
| | See [[Query check ICD10 ESRD vs AP ARF]] for corresponding check in ICD10 |
| *[[ARF (APACHE)]] checked and no [[Transplant]] means patient must not have
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| ** [[Comorbid Diagnosis]] of [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]
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| ** [[Comorbid Diagnosis]] of [[Renal dialysis care, including dialysis itself]]
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| *If a person has pre-existing [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] then they cannot ''subsequently'' have any of the various Acute Renal Failure/AKI diagnoses '''UNLESS''' they got a renal transplant in between --- so the ESRD is before the TP and the AKI is in the new/transplanted kidney.
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| **So we will use the rule that no single database record can include both [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] and an ARF/AKI code unless a kidney transplant occurred and the ARF/AKI is for the transplanted kidney.
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| *Thus, even though it is possible for an AKI to become fixed/permanent and become any level (1-5) of CRF -- this usually takes time (weeks to months) and for simplicity in coding, except for the case above where a renal TP occurred, the rule is that no single record should have both [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] and an ARF/AKI code.
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| **This really is only an issue for patients with very long hospital stays, and we've decided we can live with this small, uncommon inconsistency.
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| {{Discuss | who = Julie | question =
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| *[[ARF (APACHE)]] should be always be NO when the person has comorbid [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] or having [[Renal dialysis care, including dialysis itself]] in ICD10 diagnosis. --[[User:JMojica|JMojica]] 12:28, 2018 November 13 (CST)
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| ** A person with ARF would have dialysis, though, right? So probably more like ARF can't have ESRD or dialysis as [[Comorbid Diagnosis]]?
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| }}
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| == See also == | | == See also == |
| *[[Renal Coding Considerations (old)]] | | *[[Renal Coding Considerations (old)]] |
| *[[Renal Coding Considerations for ICD10]]
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| == Log == | | == Log == |
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| {{Related Articles}} | | {{Related Articles}} |
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| [[Category:Data Collection Guide]] | | [[Category:Data Collection Guide]] |
| [[Category: ICD10 Dx check]] | | [[Category:ICD10 Dx check]] |