Prerenal uremia/state: Difference between revisions

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{{ICD10 transition status

| OldDxArticle =| CurrentStatus = ~~freshly automatically generated article~~

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| CurrentStatus = reconciled

| InitialEditorAssigned = Stephanie Cortilet

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{{ICD10 dx

| MinimumCombinedCodes =

| ICD10 Code=R39.2

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~~{{ICD10 category|Neuro}}{{ICD10 category|Symptom/Sign}}~~

== Additional Info ==

~~{sc~~:renal failure}

*This is a specific '''cause''' of acute (or occasionally subacute) renal disorder/insufficiency.

*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]]'''

*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 Signs Symptoms Test Results not needed when cause known}}

== Alternate ICD10s to consider coding instead or in addition ==

~~(turn these into links to the actual diagnosis articles if possible. For some that might make no sense.)~~

{~~sc:renal failure~~}

*[[Dehydration (volume depletion, hypovolemia)]]

== Candidate [[Combined ICD10 codes]] ==

~~(put links to likely candidates coded with this one, eg. a cause for a trauma.)~~

== Related CCI Codes ==

== Related Articles ==

@@ Line 1: / Line 1: @@
 {{ICD10 transition status
-| OldDxArticle =| CurrentStatus = freshly automatically generated article
+| OldDxArticle =
+| CurrentStatus = reconciled
 | InitialEditorAssigned = Stephanie Cortilet
-| MinimumCombinedCodes =
 }}
 {{ICD10 dx
+| MinimumCombinedCodes =
 | ICD10 Code=R39.2
 | BugRequired=
 }}
+{{ICD10 category|Renal/urinary}}{{ICD10 category|Renal failure}}{{ICD10 category|Symptom/Sign}}
-{{ICD10 category|Neuro}}{{ICD10 category|Symptom/Sign}}
 == Additional Info ==
-{sc:renal failure}
+*This is a specific '''cause''' of acute (or occasionally subacute) renal disorder/insufficiency.
+*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]]'''
+*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 Signs Symptoms Test Results not needed when cause known}}
+{{ICD10 Guideline repeated events}}
 == Alternate ICD10s to consider coding instead or in addition ==
-(turn these into links to the actual diagnosis articles if possible. For some that might make no sense.)
+{{ListICD10Category | categoryName = Renal failure}}
-{sc:renal failure}
+{{ListICD10Category | categoryName = Chronic kidney disease}}
+*[[Dehydration (volume depletion, hypovolemia)]]
 == Candidate [[Combined ICD10 codes]] ==
-(put links to likely candidates coded with this one, eg. a cause for a trauma.)
+== Related CCI Codes ==
+{{Data Integrity Check List}}
 == Related Articles ==
 {{Related Articles}}
 {{ICD10 footer}}
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