Renal Coding Considerations (old): Difference between revisions

(40 intermediate revisions by 3 users not shown)

Line 1:

~~There~~ are a ~~few restrictions about which renal diagnoses can be coded together. These checks are currently done partly by Pagasa (~~[[~~!_Automated_Data_Integrity_Checks#CRF_vs_ARF~~]]~~) and have been partly 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 that can be checked before sending==~~

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. Some of them have been added to~~ [[~~CCMDB.mdb~~]]~~, more are to follow.~~

~~=== 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 no [[Renal Transplant]] (80504 or 80505) in ~~either Dxs or Comos then~~

** 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 **)~~

==== ~~Implementation~~ ====

== CRF in pt with transplant failure ==

~~Implementing~~ in [[CCMDB.~~mdb~~]] as [[Check Renal IncompatibleDxs]].

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.

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

*'''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.

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

see [[query Check Renal IncompatibleDxs]]

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

* see [[Check_Renal_Tasks]]

~~==== Discussion ====~~

~~{{discussion}}~~

* see [[Check_Renal_Tasks#Discussion]]

=== Apache vs. CRF comorbid ===

* see [[~~Check~~ ApARF CRF]].

* see [[Query check ApARF CRF]].

=== Apache vs. ARF Dx ===

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

== Data Integrity ~~Rules~~ that can '''not''' be checked before sending==

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

* ''Query check_CCI_TISS_Dxs_vs_Dialysis''

~~===ARF and ICU TISS =~~==

* ~~TISS 53 to 55: Don~~'~~t forget to cross check the TISS form with the diagnosis and visa versa.~~

~~===ARF & TISS integrity checks===~~

* have TISS 53, 54, 55 but no Renal failure DX (350, 351, 352, 355, 356, 398, 450-499, 327, 357)

* from community hosp to teaching hosp with DX of 350 AND no dialysis on TISS at community hosp AND DX of 350 AND TISS 53, 54 or 55 marked at teaching hospital, then the DX of ARF for community hospital is correct.

** When a pt with ARF from a tertiary hospital is transferred to a community hospital and no dialysis is needed there, the data collectors at the community hospital should not be coding ARF because the renal failure is resolving. They can code ARI. This is my understanding. Trish please let me know if this is the way you also see it. I believe the above information for integrity checks is wrong. --[[User:LKolesar|LKolesar]] 13:41, 20 July 2011 (CDT)

~~== Related Articles ==~~

~~see [[:Category:Renal Problem]] for other renal problems~~

== Related articles ==

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

[[Category: Renal Problem]]

[[Category:Renal Problem (old)]]

~~[[Category: Questions]]~~

}}

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

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

~~[[Category: Questions Integrity Rules]]~~

@@ Line 1: / Line 1: @@
-There are a few restrictions about which renal diagnoses can be coded together. These checks are currently done partly by Pagasa ([[!_Automated_Data_Integrity_Checks#CRF_vs_ARF]]) and have been partly 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 that can be checked before sending==
+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. Some of them have been added to [[CCMDB.mdb]], more are to follow.
-=== 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 no [[Renal Transplant]] (80504 or 80505) in either Dxs or Comos then
-** 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 **)
-==== Implementation ====
+== CRF in pt with transplant failure ==
-Implementing in [[CCMDB.mdb]] as [[Check Renal IncompatibleDxs]].
+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.
+== [[:Category:Renal insufficiency (old)]] ==
+*'''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.
+=== CCMDB Data Integrity Checks: Competing Diagnoses ===
+see [[query Check Renal IncompatibleDxs]]
 === Diagnoses, Comos vs. Tasks, locations ===
 * see [[Check_Renal_Tasks]]
-==== Discussion ====
-{{discussion}}
-* see [[Check_Renal_Tasks#Discussion]]
 === Apache vs. CRF comorbid ===
-* see [[Check ApARF CRF]].
+* see [[Query check ApARF CRF]].
 === Apache vs. ARF Dx ===
 cross-checks impossible due to different definitions, see [[ARF (Diagnosis)]] and [[ARF (APACHE)]]
-== Data Integrity Rules that can '''not''' be checked before sending==
+== Data Integrity Checks that can '''not''' be checked before sending==
+* ''Query check_CCI_TISS_Dxs_vs_Dialysis''
-===ARF and ICU TISS ===
-* TISS 53 to 55: Don't forget to cross check the TISS form with the diagnosis and visa versa.
-===ARF & TISS integrity checks===
-* have TISS 53, 54, 55 but no Renal failure DX (350, 351, 352, 355, 356, 398, 450-499, 327, 357)
-* from community hosp to teaching hosp with DX of 350 AND no dialysis on TISS at community hosp AND DX of 350 AND TISS 53, 54 or 55 marked at teaching hospital, then the DX of ARF for community hospital is correct.
-** When a pt with ARF from a tertiary hospital is transferred to a community hospital and no dialysis is needed there, the data collectors at the community hospital should not be coding ARF because the renal failure is resolving. They can code ARI. This is my understanding.  Trish please let me know if this is the way you also see it.   I believe the above information for integrity checks is wrong.  --[[User:LKolesar|LKolesar]] 13:41, 20 July 2011 (CDT)
-== Related Articles ==
-see [[:Category:Renal Problem]] for other renal problems
+== Related articles ==
+see [[:Category:Renal Problem (old)]] for other renal problems
+{{Related Articles}}
-[[Category: Renal Problem]]
+[[Category:Renal Problem (old)]]
-[[Category: Questions]]
+}}
-[[Category: Data Integrity Rules]]
-[[Category: Questions Diagnosis]]
-[[Category: Questions Integrity Rules]]