Renal Coding Considerations (old): Difference between revisions

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== Data Integrity Rules ==
{{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=


* If [[CRF - Chronic Renal Failure|CRF]] (351 00) is coded as comorbid then [[ARF - Acute Renal Failure|ARF]] (350 **) must '''not''' be coded as Admit/Acquired.
See also [[ICD10 Guideline for Renal Coding]]


{{Discussion}}
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]].
** '''Exception:''' if Renal Transplant (805 00) is also coded as a comorbid
***So how do you check for patients with renal transplant in comorbid, done many years ago, but patient has been receiving outpatient dialysis for some time because of transplant failure prior to admission?  [[User:TOstryzniuk|TOstryzniuk]] 16:22, 8 October 2008 (CDT)
** discussion Tina/Julie: If having more than 1 encounter (i.e.: continuous or same hospital admission), then Codes 350 and 351 should not appear together in at least one of the encounters. Why should they occur together in any? That happens and definitely that is encoding error.  Ideally, should be all 350 in all encounters or all 351 in all encounters. Umm… ideally? So, flag it or not?  Flag it
***Tina is correct, code is either 351 or 350 in all if continuous admission.[[User:TOstryzniuk|TOstryzniuk]] 16:22, 8 October 2008 (CDT)
** If a patient is newly admitted to the hospital with ARF (350 00 first time dialysis ever) and moves between units (continuous admission) and he is still requiring dialysis , he remains as ARF (350 -00) until he is discharged from from the hospital.
** If this same patient is readmitted back to the hospital from the community, and was on outpatient dialysis, then new encounter to the hospital system, comorbid code is not CRF (351 00). [[User:TOstryzniuk|TOstryzniuk]] 16:22, 8 October 2008 (CDT)


* If [[CRF - Chronic Renal Failure|CRF]] (351 00) is coded as comorbid then [[Acute Renal Insufficiency]] (364 00) must not appear in Admit/Acquired codes
== CRF in pt with transplant failure ==
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.


Both of these rules are currently checked at the main office and result in calls for clarification from Pagasa if broken.
== [[: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).


[[Category: Data Integrity Rules]]
== Data Integrity Checks ==
[[Category: Questions]]
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]]
 
=== 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:Renal Problem (old)]]
}}

Latest revision as of 16:31, 30 December 2021

Legacy Content

This page contains Legacy Content.

Click Expand to show legacy content.

See also ICD10 Guideline for Renal Coding

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.

CRF in pt with transplant failure

Just a comment about CRF - Chronic Renal Failure: when pt has Renal Transplant Problems and/or 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)

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

Apache vs. CRF comorbid

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:
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