Renal Coding Considerations (old): Difference between revisions

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These ~~checks~~ are ~~currently done partly by Pagasa (~~[[~~! Automated Data Integrity Checks~~]]~~) and are about to be implemented in~~ [[~~CCMDB.mdb~~]].

{{LegacyContent

|explanation=These are so different in ICD10 that we made a new page: [[ICD10 Guideline for Renal Coding]]

|successor=[[ICD10 Guideline for Renal Coding]]

|content=

~~== Data Integrity Rules ==~~

See also [[ICD10 Guideline for Renal Coding]]

~~These rules are currently checked at the main office and result in calls~~ for ~~clarification from Pagasa if broken.~~

~~=== competing~~ diagnoses ~~===~~

There are a few restrictions about which renal diagnoses can be coded together. These checks are currently done partly by Pagasa and have been partly implemented in [[CCMDB.accdb]].

~~If comorbid [[CRF - Chronic Renal Failure|CRF]] (351-00) exists then the following must '''not''' appear~~ in ~~Admit/Acquired codes~~

* [[ARI]] (364-00)

* [[Acute Tubular Necrosis | ATN]] (352-00)

* [[~~ARF (Diagnosis)~~]] ~~(350 **)~~

==~~= Diagnoses, Comos vs. Tasks =~~==

== CRF in pt with transplant failure ==

~~Dialysis task is required if~~

Just a comment about '''[[CRF - Chronic Renal Failure]]''': when pt has [[Renal Transplant Problems]] and/or [[Renal Transplant|Renal Transplant - Removal of Transplant-Organ]] and requires dialysis, they can have acquired diagnoses of '''[[ARF (Diagnosis)]]''', '''[[Acute Tubular Necrosis (ATN)]]''' and/or [[ARI]], which is related to their new donor kidney.

* one of the following '''is''' ~~present~~:

** comorbid CRF

** diagnosis ARF

* LOS >= 3

* [[Renal Transplant]] (~~80504 or 80505~~) is '''~~not~~''' ~~present~~

==~~= Apache vs. CRF como =~~==

== [[:Category:Renal insufficiency (old)]] ==

* ~~If comorbid~~ [[~~CRF~~ - ~~Chronic~~ Renal ~~Failure~~]] ~~exists~~, ~~the~~ ARF ~~box~~ in ~~Apache Lab must~~ not ~~be checked~~.

*'''Comorbid'''

**[[Renal insufficiency-mild (creatinine 160-240 mmol)]]

**[[Renal Insufficiency-moderate (Cr greater than 240)]]

*'''Admit or complication'''

**[[ARI]] there is a different range - creatinine rise of >250 mmol OR a rise of >100 mmol from baseline over 24 hrs.

*'''No dialysis''' or

*'''N history of CRF'''

**if patient required acute dialysis, it is not due to renal insufficiency - please see [[ARF]]

**This is in the code book but not on the Wiki. (code books OLD so folks should not use).

== Data Integrity Checks ==

These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken. Some of them have been added to [[CCMDB.accdb]], more are to follow.

=== ~~Apache vs. ARF Dx~~ ===

=== CCMDB Data Integrity Checks: Competing Diagnoses ===

* If ARF dx exists, ARF box must be checked and vice versa.

see [[query Check Renal IncompatibleDxs]]

=== Diagnoses, Comos vs. Tasks, locations ===

* see [[Check_Renal_Tasks]]

=== Apache vs. CRF comorbid ===

* see [[Query check ApARF CRF]].

=== Apache vs. ARF Dx ===

cross-checks impossible due to different definitions, see [[ARF (Diagnosis)]] and [[ARF (APACHE)]]

== Data Integrity Checks that can '''not''' be checked before sending==

* ''Query check_CCI_TISS_Dxs_vs_Dialysis''

== Related articles ==

see [[:Category:Renal Problem (old)]] for other renal problems

[[Category: ~~Questions~~]]

[[Category:Renal Problem (old)]]

~~[[Category: Data Integrity Rules]]~~

}}

~~[[Category: Questions Diagnosis]]~~

@@ Line 1: / Line 1: @@
-These checks are currently done partly by Pagasa ([[! Automated Data Integrity Checks]]) and are about to be implemented in [[CCMDB.mdb]].
+{{LegacyContent
+|explanation=These are so different in ICD10 that we made a new page: [[ICD10 Guideline for Renal Coding]]
+|successor=[[ICD10 Guideline for Renal Coding]]
+|content=
-== Data Integrity Rules ==
+See also [[ICD10 Guideline for Renal Coding]]
-These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken.
-=== competing diagnoses ===
+There are a few restrictions about which renal diagnoses can be coded together. These checks are currently done partly by Pagasa and have been partly implemented in [[CCMDB.accdb]].
-If comorbid [[CRF - Chronic Renal Failure|CRF]] (351-00) exists then the following must '''not''' appear in Admit/Acquired codes
-* [[ARI]]  (364-00)
-* [[Acute Tubular Necrosis | ATN]]  (352-00)
-* [[ARF (Diagnosis)]]  (350 **)
-=== Diagnoses, Comos vs. Tasks ===
+== CRF in pt with transplant failure ==
-Dialysis task is required if
+Just a comment about '''[[CRF - Chronic Renal Failure]]''': when pt has [[Renal Transplant Problems]] and/or [[Renal Transplant|Renal Transplant - Removal of Transplant-Organ]] and requires dialysis, they can have acquired diagnoses of '''[[ARF (Diagnosis)]]''', '''[[Acute Tubular Necrosis (ATN)]]''' and/or [[ARI]], which is related to their new donor kidney.
-* one of the following '''is''' present:
-** comorbid CRF
-** diagnosis ARF
-* LOS >= 3
-* [[Renal Transplant]] (80504 or 80505) is '''not''' present
-=== Apache vs. CRF como ===
+== [[:Category:Renal insufficiency (old)]] ==
-* If comorbid [[CRF - Chronic Renal Failure]] exists, the ARF box in Apache Lab must not be checked.
+*'''Comorbid'''
+**[[Renal insufficiency-mild (creatinine 160-240 mmol)]]
+**[[Renal Insufficiency-moderate (Cr greater than 240)]]
+*'''Admit or complication'''
+**[[ARI]] there is a different range - creatinine rise of >250 mmol OR a rise of >100 mmol from baseline over 24 hrs.
+*'''No dialysis''' or
+*'''N history of CRF'''
+**if patient required acute dialysis, it is not due to renal insufficiency - please see [[ARF]]
+**This is in the code book but not on the Wiki.  (code books OLD so folks should not use).
+== Data Integrity Checks ==
+These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken. Some of them have been added to [[CCMDB.accdb]], more are to follow.
-=== Apache vs. ARF Dx ===
+=== CCMDB Data Integrity Checks: Competing Diagnoses ===
-* If ARF dx exists, ARF box must be checked and vice versa.
+see [[query Check Renal IncompatibleDxs]]
+=== Diagnoses, Comos vs. Tasks, locations ===
+* see [[Check_Renal_Tasks]]
+=== Apache vs. CRF comorbid ===
+* see [[Query check ApARF CRF]].
+=== Apache vs. ARF Dx ===
+cross-checks impossible due to different definitions, see [[ARF (Diagnosis)]] and [[ARF (APACHE)]]
+== Data Integrity Checks that can '''not''' be checked before sending==
+* ''Query check_CCI_TISS_Dxs_vs_Dialysis''
+== Related articles ==
+see [[:Category:Renal Problem (old)]] for other renal problems
+{{Related Articles}}
-[[Category: Questions]]
+[[Category:Renal Problem (old)]]
-[[Category: Data Integrity Rules]]
+}}
-[[Category: Questions Diagnosis]]